Thanks everyone. I will definitely post the feedback I get.
Mel, I think HT duration philosophy is typically different for initial treatment versus after a treatment failure. My rad onc pushes hard for 36 months as part of the initial treatment but once there is a treatement failure, he goes with the intermittent approach until that fails .. I think 6-8 months at a time. But, I have never pushed for details on the latter since it is not applicable to me at this point. So, Dr. Lam's recommendation for me may very well be different than for those experiencing a PSA rise after treatments. I will probably ask him the hypothetical question anyway.
Age 52; dx at 50, PSA 54.9
Nerve sparing surgery/
open, 2010; removed 14 lymph nodes
Pathology report: T3bN0MX, SVI, neg margin, Gleason 9
Adjuvant HT, up to 36 months: 14 month mark now
All HT SE (including total ED)
Finished Aduvant RT incl lymph nodes, 9/2011
Undetectable PSA so far