Regarding post above: your last statement regarding STW's comment regarding have a recurrence at 25 years...you are suggesting the only way he had a recurrence was that cancer was left behind 25 years earlier. I do not believe you are correct about
this. Actually, I believe STW is the one who is correct. Non-cancerous prostate tissue left behind absolutely can turn cancerous later. It is one of the inherent risks of radiation as a primary form of treatment...with radiation, benign prostate tissue remains which is why there is still a PSA level. Recurrence can happen when benign tissue left behind from radiation again goes haywire and becomes cancerous. So same would be true for missed tissue post surgery.
Regarding STW's comment "My father had some benign tissue left after his RP. 25 years later he developed cancer in that bit that was left...".
Unfortunately, but obviously, there was also some cancercous cells left behind after his RP. Since 25 years went by, it would have been only a small amount and it took years for the slowly growing PC cells to multiply enough times to become detectible in a PSA test (thereby leading to his SRT). Sounds like his SRT cleaned things up, as it usually will.
43 yo. now
5/07 PSA 4.65 at routine physical
6/07 biopsy Gleason 7 (3+4)...diagnosed at 41 y.o.
6/07-9/07 manic research and interviews with physicians across the country in search of the "right" decision. I went to Mass General in Boston, Loma Linda, University of Chicago and Northwestern.
9/17/07 - RRP at Northwestern Memorial by Dr. William Catalona. Thankful the father of the PSA test was right here in Chicago.
Post op path report confirmed Gleason 7 (3+4). negative margins, no seminal vesicale involvement, no lymphatic or vascular invasion, bladder and urethral free and tumor volume was 5% of 27.3g.
9/27/07 - catheter removal...let the games begin...
12/31/07 - threw out the pads (I only had used 1 pad per day for protection against minor drips)
I started Trimix 8 weeks after surgery with success. I hope someday I won't need injections, but I hope more that my PSA stays at 0 forever.
9/17/08 One year past surgery and doing well. PSA less than .1 and ED continues to get better and showing reasonably good results using Levitra which for a long time did nothing.