Montee: A couple of things about your friends PSA jumps out at me. If it never got over 2.8 and is aggresive as it appears then he could be dealing with small cell prostate cancer, one of the different strains that Zufus is always talking about. Its a really tough one to combat. I hope he is being seen at a major facility or one of the doc's that we always refer to.
The other possibilty is that he has a very hig Gleason score, sometimes the higher the Gleason score the lower the PSA because the cancer is so poorly differentiated it can't produce PSA.
Whatever the cause, his treatment doesn't seem to be working and he needs a change.
Tell your firend Good Luck.
Biopsy- 12 cores, 4 positive highest 4+4=8
Bone scan, CT scan and Chest X-ray clear 4/16/08
Urologist suggested surgery 4/16/08
MRI on 4/24/08 clear no suggestion of lymph node involvement.
4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July. This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02
12/05/08-PSA <0.02 Six months after surgery
3/02/09-PSA <0.02 Nine months after surgery
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.
12/31/09- SRT completed, still on HT and will be for 2 years, PSA is <0.01
7/30/10- PSA still <0.01, on HT 1 year with 1 to go.