Here's a quick synopsis of my situation:
11/09--4.19 (Free PSA: 24%),
11/09--PCA3 =75 (bad news!)
Biopsy 11/30/09. Gleason 4+3. Stage: T1C.
Current Age: 64 . Robotic Surgery: Dr. Menon @Ford Hospital, 1/26/10.
Pathology Report: G 4+3. Nodes: Clear. PNI: yes. SVI: No. EPE: yes. Pos. Margin: Yes-- focal-- 1 spot .5mm.
100% continent by 3/10. ED- Yes..
PSA on 3/10/10-: 0.01. PSA on 6/21/10--0.02. PSA on 9/21/10--0.06;
PSA on 1/4/11-0.13
PSA on 3/1/11--0.27—clearly the beast is BACK. Time for:
SRT— started 3/22/11 for 38 sessions—68.4 total GY.
OK, I know I've asked these questions before. These are certainly questions worth asking Dr. Scholz or some other expert.
So I will be done with the SRT tomorrow. I would like to try some supplements. But when I do some research, it seems that these substances go in and out of favor. For example, flaxseed oil quite a few years ago was good. Now it's not. I read pros and cons about ground flaxseed. Even pomegran. seems to be questionable (also, I don't mind the juice but is it better to take the pills or better not to take any of it). Also, during SRT I've been advised to minimize anti-oxidents and vitamins, but in 2 weeks I can go back to that. But go back to what? Is fish oil good? It does seem that vitamin D3 is good. I am hesitant to even read books on this subject as books get old and things keep changing. I am confused!!
I don't want to start the old debates and flaming wars. I'm just wondering if there are generally accepted supplements. Incidentally, what about aspirin? I've read good things about that (RE: PC) but maybe that was as a preventative. I'm beyond that stage!
I also have some other questions:
1) My latest PSA was on 3/1 and it was 0.27 with the latest PSADT being about 2 months. That's scary! I started SRT 3 weeks later, so I figure my PSA was probably in the 0.35-0.40 area. My next PSA will be in about 3 months I think (isn't that typically when one does the first post-SRT PSA). My question is: what would be a good result? Suppose it is 0.31? Can one then conclude that SRT failed?
2) I know that a PSADT of 2 months is bad. But does that also imply that HT will fail quicker? I have heard that, but never read that. It would seem the success or failure of HT is dependent on the proportion of cancer cells (refractory vs. sensitive) and that may have nothing to do with the PSADT unless refractory cells by their nature double faster. I'm not sure if that's true.
3) Finally, if SRT fails, then I would guess Casodex followed by Lupron or something similar is the standard tx. But Casodex can cause severe breast pain. I've heard radiation can help. If so, how many tx., are there any SE to those tx., and do you do the tx. before starting Casodex or wait until you have breast pain/enlargement before starting the radiatoion.