In Dr. Walsh's book, second edition (2007), page 474, figure 12.2, there are two mortality charts, one for locally advanced disease and one for metastatic disease..
In the group with advanced metastatic disease, 10% die within one year and 10% are still alive at ten years. The other 80% fall in between..The curve is not linear. At the 5 year mark, only 28% survive...
Speaking of mortality, the "average" lifespan for someone born in 1942 like me is 68 years. Translated, this means half the men born in 1942 are already dead...My high-school class just held their 50th reunion (class of 1960) . Half the names in the yearbook have an asterix (deceased) next to them...And we all thought we would live forever....
Chadhas, did dad have any other treatment other than HT?? That PSA .04 is very impressive. That means his cancer is 99.8% hormone dependent and it might take FOREVER before the hormone independent cancer causes problems. You might want to look into some of the new chemo treatments, Taxotere for one, that have shown considerable benefit for advanced patients..
Age today: 68. Married, 6', 215 pounds, active, no health issues.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA at age 66 9.0 DRE "normal", BPH, Finesteride. (Proscar)
PSA at age 67 4.5 DRE "normal" second biopsy, negative.
PSA at age 67.5 5.6, DRE "normal" U-doc worried..
PSA at age 68, 7.0, third 12 core biopsy positive for cancer in 4 cores, 3 cores Gleason 6, one core Gleason 9. Finesteride discontinued, still no urinary symptoms, never had any..From age 55 to 65 I had no health insurance.
I have a date with the robo surgeon on Sept 3 but I'm keeping my options
open. I'm also looking at seeds combined with IGRT which seems to be having good results with high-risk patients..
Post Edited (Fairwind) : 8/17/2010 9:44:29 AM (GMT-6)