SRT after RP and Adj. RT?

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Jerry L.
Veteran Member


Date Joined Feb 2010
Total Posts : 3072
   Posted 10/25/2010 5:09 PM (GMT -6)   
Is it possible to have SRT after surgery/radiation if PSA were to begin rising?

I assume not.

Thanks
Nov. 2009 Dx at Age 44
Dec. 2009 DaVinci Robotic Surgery
Jan. 2010 T3b, Gleason 9
Feb. 2010 ERBT

PSA History:
-----------------
Nov. 2009 4.03
Feb. 2010 <.05
May 2010 <.05
Aug. 2010 <.05

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3892
   Posted 10/25/2010 5:28 PM (GMT -6)   
Chemo and HT are your only options now...No repeats with RT...Sometimes they use RT to kill bone mets as a form of pain control..

Jerry L.
Veteran Member


Date Joined Feb 2010
Total Posts : 3072
   Posted 10/25/2010 5:40 PM (GMT -6)   
Thanks-I guess docs assume if they didn't get it the first time that it would not make any difference.

Options...that's something my version of this thing didn't give me.

I just hope I don't need to exercise my limited options for a long time.
Nov. 2009 Dx at Age 44
Dec. 2009 DaVinci Robotic Surgery
Jan. 2010 T3b, Gleason 9
Feb. 2010 ERBT

PSA History:
-----------------
Nov. 2009 4.03
Feb. 2010 <.05
May 2010 <.05
Aug. 2010 <.05

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 10/25/2010 6:34 PM (GMT -6)   
Salvage RT after adjuvant RT is really unexplored. I doubt that continuing to hit the area will provide any benefit but I have heard of repeats attempts.

At this point you are doing well Jerry. I would try to stay positive and hopeful. If the disease returns then you have multiple HT options. There are many ways to control this beast and one of the main things I took out of a presentation at our UsTOO chapter last week is that certain combinations have worked better than others depending on the patient. Sanofi-aventis was our presenter. They manufacture Taxotere and Cabazitaxel among other things. the next series of studies they will be sponsoring are these combinations:

Taxotere/Prednisone with Abitaterone BEFORE biochemical failure after surgery.
Taxotere/Prednisone with Abiraterone after biochemical failure post surgery/RT

Also, outside of the Chemo/HT world is immunotherapies. Stipuleucel-T (Provenge) is going to be used more and more in the early phases. We still don't have any information about it yet.

Stay diligent, Jerry... If you are on Facebook, you can friend me and I will link you to our UsTOO Las Vegas Chapter page. I am doing a lot of posts for the advanced cases there. We have had some great speakers this year...

Tony

www.facebook.com/tony.crispino
Disease:
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino

Post Edited (TC-LasVegas) : 10/25/2010 7:35:48 PM (GMT-6)


Jerry L.
Veteran Member


Date Joined Feb 2010
Total Posts : 3072
   Posted 10/25/2010 7:22 PM (GMT -6)   
Thanks Tony.

fyi - You recommended a book the other day called, "Promoting Wellness....". It just came today so I will be reading that.
Nov. 2009 Dx at Age 44
Dec. 2009 DaVinci Robotic Surgery
Jan. 2010 T3b, Gleason 9
Feb. 2010 ERBT

PSA History:
-----------------
Nov. 2009 4.03
Feb. 2010 <.05
May 2010 <.05
Aug. 2010 <.05

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 10/25/2010 7:38 PM (GMT -6)   
Mark Moyad has some great stuff in that book. Enjoy the read..


Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino

English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2218
   Posted 10/26/2010 11:21 AM (GMT -6)   
There is a maximum dose of RT for that (or any) part of the body.

Adjuvant RT is aimed at the prostate bed, thus it should deal with any cancer there, so if the cancer returns it is unlikely to be in the prostate bed, which can only lead to the question "So where is it then?"
If you don't know where it is you can't use RT.

HT comes in many shapes and sizes and is the usual next step after RT.

Lower doses (fewer sessions) of RT get used for localised pain relief for things like mets in the bones.

Alf
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