I have been here over 4 years and while rare there are some guys who have elevated PSA's after therapy. One such man had a PSA of 8 when he had surgery, and his first post op PSA was 18. His wife posts every now and then here screen name is Myman. But there are others here as well that had detectable PSA's immediately after RP.
Earlier you stated:
"The oncologist said "metastatic in 5 and dead in 10"."
Wolf, you may need a new oncologist if he actually said that. As a moderator here and as a live prostate cancer support group president I cringe every time I hear a doctor put his foot in his mouth. I can name countless cases where a man wearing your shoes, or has even worse indicators has done very well and is still thriving well past that timeframe. In fact we have many such members here. I believe it was almost two years ago when the British government granted compassionate parole to the Lockerbie bomber because they said he would live another 3 months at most with his prostate cancer. Well again that was almost two years ago and he is still alive and living free in Libya. These things are not predictable and this oncologist if he made such a statement is not someone I would want on my team when fighting cancer.
Jerry's comment is correct in saying that chemo should not come before homonal therapies it should come after hormone therapies stop working. There is an exception. There are a few studies being conducted to determine if early or adjuvant chemotherapy is beneficial. But if you are not in such a study and you have not started hormone therapy, then I probably would count the recommendation for chemo when you did it as strike two for this oncologist.
That stated, welcome to the group. We have some very wonderful people here sharing and caring. Peace to you...
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
Da Vinci Surgery ~ 2/17/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.