Glad to see you're recovering well. Being a fellow member of the G9 club, I know that it can be hard to digest all the information being presented and understand the ramifications of proposed treatments. Here are a few articles you might want to read to help you better understand your pathology report, etc., and ask questions:
"Treatment strategies for high-risk locally advanced prostate cancer", http://www.nature.com/nrurol/journal/v7/n1/full/nrurol.2009.237.html
"Role of surgery in high-risk localized prostate cancer", http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2935705/?tool=pubmed
"Salvage Radiotherapy for Patients with PSA Relapse Following Radical Prostatectomy: Issues and Challenges", http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2848745/
"Positive margins after radical prostatectomy: Implications for failure and role of adjuvant treatment", http://www.ncbi.nlm.nih.gov/pubmed/21775170
"Nine Decisions Before Electing RADIATION THERAPY After Radical Prostatectomy", http://www.prostate-cancer.org/pcricms/sites/default/files/PDFs/Is13-2_p8-17.pdf
As others have said, if your pathology report shows that the cancer was localized to the prostate with no other adverse findings, there is still hope that the surgery cured it. Even if you suffer recurrence, combined radiation and hormone therapy still offer chance for a cure.
I had surgery last August. My PSA was undetectable after surgery, although I had positive margins. While my oncologists recommended immediate radiation and hormone therapy, I elected have ultra-sensitive PSA tests, and wait until they indicated my PSA had returned before taking action in the hopes of a cure. Starting in April, my PSA began to rise and I have elected to begin treatments. At the time, my doctors thought my chance of recurrence was 50%; that was before the "Positive margins" study mention above came out, which shows a >70% chance for G9 with positive margins. I probably wouldn't have waited had I known that.
Take care and enjoy the lovely blue skies and warmth of summer.
Age 59 Gleason 9
1/10 PSA 14.7
5/10 Bx: Gleason 3+4
8/4/2010 RRP: Gleason 4+5; Positive Margins, PNI
Incontinence: N/A; ED: 80% to the good
Until 4/11, PSA <.01; 4/11: .01; 6/11: .03
IADT3 begins 7/20; WPRT begins 8/22
Post Edited (Riviere) : 7/24/2011 8:37:07 AM (GMT-6)