At this juncture, it seems like we are in a similar boat, some with better numbers than others but the choices that lie ahead are the same. Wait and see if a PSA rise occurs or consider Adjuvant therapy. Another factor I'm dealing with is the level of sensitivty of PSA testing. Around here, we only seem to test to the first decimal point (tenths)but many others seem to get ultrasensitive testing which goes to the second decimal point(hundreths). Seems like a lot of valuable information could be lost with less sensitive testing and that bugs me...feels like I'm getting the Chevy level of care when the Cadillac level is what I want. Additionally, regardless of whether my Uro wants to refer me or not, I may pursue a consult with an MO or RO just to get their take on my case and ART vs. SRT from someone other than my Uro. It's not that I want to go through radiation at all but I do want to do all I can to increase my odds of long term survival. Problem is it's not without its risks and QOL issues must also be seriously considered. I'm a control freak too so I understand John's feelings on this one. Also, if you play with the Sloan-Ketterring calculator, you can try running the numbers several ways and you may notice that the numbers don't change dramatically. I had first thought my margins were negative, very close, but negative. The Uro corrected me that because it was so close it would be considered positive. I didn't like hearing that, but when I used the model it only changed the odds of recurrence by a few percent. So, it is what it is...the question is, where do we go from here? If anyone knows of any studies on the risk-benefit analysis between ART vs. SRT, I would like to read them.
Age 53- PSA 2/11 3.5
4/21/11 BX Path Report: 3 of 12 Left PCa , 3+3, 3+4, 4+4
4/29/11 Received PCa DX, G-8
open RP Performed, Right nerve bundle spared
5/24/11 Post Op Path Report: G-7(4+3) 7%, pT3a N0MX, EPE, +PNI, + Left margin, -SVI
6/1/11 Cath removed, Incontinence-No, ED-Yes.
6/16/2011 First Post-Op PSA: <0.1
Post Edited (rcroller) : 6/19/2011 7:57:54 AM (GMT-6)