Had blood work done last week and the PSA rose to 0.44 from the .32 three months ago.
Background, Surgery in Sept 2008 - Positive margin - pT2C NOMX Gleason 7 (3+4) PSA rising since surgery. 6-7 months doubling time.
Uro has given three choices.
1. Wait another three months..but that wouldn't be beneficial and I would be in the same shoes as today with higher numbers
2. Begin a 4-month shot of Eligard (administered by him)
3. Radiation to full pelvic area
I was a bit surprised about the Eligard shot as an option with my low psa numbers. But he mentioned that at this low level it would also present a cure in as much as the radiation would. He is leaning towards radiation however, but added that the side effects from Eligard would revert after stopping the injection treatments. I asked how many shots and over how long a period of time, and he said probably just one shot that would last about four months.
This puts me into a bit of a quandary (Zufus Twilight Zone). It would seem on the outset to take the shot and have as good of a chance of a cure without the risk of radiation. However on the flip side, I am not so optimistic with the HT either...much less being administered by the uro rather than a medical oncologist.
I am scheduling the usual consultations with the radiation and medical oncologists and will make my decisions from there.
But if anyone has any inputs or suggestions, it would be much appreciated. And I know that nobody here is a medical doctor and I will take your responses as a brother in this disease and any advice that is given is in support only.
Thanks to all here...