Thank you all for your information. I was aware of the positions of Drs Myer and Strum on this issue, but was not sure how main stream this thinking was. I have become a bit concerned lately by reading posts where Drs at places like John Hopkins and MSK where having their patients wait until PSA reached 10 before starting HT. My initial medical oncologist that suggested deferring HT was generally acknowledged to be the best in the area.
I was also very interested in reading the thread started by Ralfinaz on this topic. Clarified a lot of the issues for me.
We often recommend Dr Walsh's book to new members to the forum. It truely has a great deal of valuable information on PCa. I read it cover to cover when I was first diognosed. However, it paints a very bleak, and I believe inaccurate picture, of the impact of HT on survival for advanced PCa. Including the strong suggestion that HT should be deferred. I honestly wish he would update it.
Again thanks, BB
Dx Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4)
Robotic RP March 2009
Path Report: T2c, G8, organ confined, neg margins, lymph nodes - tumor vol 9%
PSA's < .01, .01, .07, .28, .50. ADT 3 5/10. IMRT 7/10.
PSA's post HT/SRT .01, < .01
End ADT3 5/11 PSA < .01