My doctor did my first PSA a +7 weeks only because of a long holiday that would have pushed it to 9 weeks otherwise. He was concerned that at even +7 it might show some residual, but was betting that a good result would settle my anxiety. It did come back <0.1, but that didn't help much after all the stress here to get ultrasensitive tests. Their practice does not do ultrasensitive.
As to Adjuvant RT (i.e. done immediately after surgery) - I did that. Waited longer than they preferred, hoping to get down to 0 pads, but that didn't happen, so we went ahead.
My doctor argued preemptively that my PCa was likely "out of the barn", since I had multiple positive margins (no detected lymph node or seminal vesticle invasion), but not so far that radiation was ruled out. I did not do HT, but was warned that it would be needed if there had been a detectable PSA. The immediate RT is a trade-off. Will it have side effects that will dog me for years, or will it have killed any residual cancer with no side effects?
When I get to the point that I can tell the answer ....
(and of course, my best wishes to you - )
Post Edited (142) : 8/29/2010 9:11:07 AM (GMT-6)