I think that adjuvant hormonal therapy was the the right choice for me. While I chose to begin the therapy before adjuvant radiation, there is good data for men with stage 3B and later disease when it comes to biochemical failure rates. Ongoing studies at Stanford and Harvard Universities are approaching year 9 with up to 90% success rates without recurrence for the 3B guys. These studies were for Post RP ~ pT3b (seminal vesicle invasion) men who start the program BEFORE any relapse, with immediate HT and adjuvant radiation as well.
I consider my success to date to this program. My PSA history has been zeros now approaching 4 years post RP. I am no longer undergoing any therapy at this time.
Fairwind ~ The studies still need time. But a recurrence rate for 3B men is over 50% after 5 years when no adjuvant therapies are applied. However under this program it's up 90% success after year 9. This is a 75% improvement.
Now before anyone goes off on me for siting a study, please note the true gauge is prostate cancer specific survival of which data is not available today. I fully recognize that but I have no regrets having completed this protocol.
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
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.
"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