PSA 1.6 after surgery and radition

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New Member

Date Joined Apr 2010
Total Posts : 5
   Posted 4/22/2010 6:33 PM (GMT -6)   
My first time here.
I'm 70 years old.
Had radical prostate surgery 1994, radition treatments 2005.
My PSA Nov 2009 1.5, April 2010 1.6
My question when to start alternative therapy, (Lupron) or (CASODEX and PROSCAR)
MRI and CT are fine, all blood work is normal.
Is there anyone out there with similar back ground ?
Thank you in advance.

Regular Member

Date Joined May 2009
Total Posts : 476
   Posted 4/23/2010 12:01 AM (GMT -6)   

First of all, welcome to the site. You will find a lot of caring people here.

While you should discuss your question with an oncologist specializing in PCa, I will venture an opinion. Just remember, I am not a doctor. Your PSA doubling time is very slow, so take your time. It may take many years for cancer to grow enough to be a danger. When and if this happens, you always have ADT to fall back on, meanwhile, you can avoid the unpleasant side effects of ADT.

Father died from poorly differentiated PCa @ 78 - normal PSA and DRE
5 biopsies over 4 years negative while PSA going from 3.8 to 28
Dx Nov 2007, age 46, PSA 29, Gleason 4+4=8
Decided to participate in clinical trial at Duke - 6 rounds of chemo (Taxotere + Avastin)
PSA prior to treatment 1/8/2008 is 33.90, bounced on 1/31/2008 to 38.20, and down at the end of the treatment (4/24/2008) to 20.60
RRP at Duke (Dr. Moul) on 6/16/2008, Gleason downgraded 4+3=7, T3a N0MX, focal extraprostatic extension, two small positive margins
PSA undetectable for 8 months, then 2/6/2009 0.10, 4/26/2009 0.17, 5/22/2009 0.20, 6/11/2009 0.27
ADT (ongoing, duration TBD): Lupron started 6/22/2009
Salvage IMRT to prostate bed and pelvis - 72gy over 40 treatments finished 10/21/2009
PSA 6/25/2009 0.1, T=516, 7/23/2009 <0.05, T<10, 10/21/2009 <0.05, T<10

Regular Member

Date Joined Apr 2010
Total Posts : 83
   Posted 4/23/2010 4:42 AM (GMT -6)   

Just wanted to welcome you to the site. I think you should discuss with your Doctors.
Dx age 62 - March 2009 - Gleason 7
Surgery - da-vinci RP on April 29, 2009 Gleason upgraded to 9
Started VEGAN diet June 2009
3 month PSA - <.04
6 month PSA <.04
9 month PSA .05
12 Month PSA  .16

Regular Member

Date Joined Jul 2009
Total Posts : 162
   Posted 4/23/2010 6:28 AM (GMT -6)   
I am in somewhat of the same boat. My psa was 1.5 in February (following cryo in 2006 and  clean subsequent biopsies in 2006 and March 2010). My uro wants to wait until the psa reaches 10 to go on hormone treatments. I recommended 5 and he said, that's fine. However, I am looking to hook up with an oncologist for a further opinion. I suggest you should do the same. Fact is, there are doctors who say to wait and there are doctors who say don't wait. In the middle are quality of life issues to consider and while there is some scanty evidence that says being more aggressive is better, that evidence is hardly conclusive.
Age -57; Diagnosed 10/05 PSA 13.4 GS 7 (4+3) Organ confined (T2B)
Cryoablation 4/06 Allegheny Hosp-Dr Ralph Miller (Cohen/Miller)
Post Cryo Nadir 8/06 0.2
Rising steadily to 0.7 4/09 :-(
Steady at 0.7 (7/09)
Doubled to 1.5 (2/10) YUCH!
Hoping to qualify for salvage cryo or radiation

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 4/23/2010 10:47 AM (GMT -6)   
akbush, welcome to Healing Well. I hope you can find what you are needing here, and that you will stay with us during your journey...
James C. Age 63
Gonna Make Myself A Better Man
4/07: PSA 7.6, Recheck after 4 weeks Cipro-6.7
7/07 Biopsy: 3 of 16 PCa, 5% invloved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, 110gms, Path Report- Stg. pT2c, 10 gms., margins clear
32 Months: PSA's .04 each test since surgery, ED continues: Bimix- .3ml PRN, Trimix- .15ml PRN

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