I'm sorry to hear that you have to consider salvage treatment. Just this morning I watched a video by Dr. Kwon of Mayo about
their C-Choline PET scan which made me realize what a change this scan will bring to those who experience recurrence. Here's the video:askdrbarken.wordpress.com/2011/12/25/c-11-choline-petct-scan-dr-eugene-kwon-mayo-clinic/
It made me realize that perhaps I was too quick to pull the trigger on my adjuvant/salvage radiation treatment. Since the scan can be effective when the PSA has reached 1.0, and is especially useful if the PSA is rapidly rising, it makes sense to find the target before pulling the trigger instead of taking out the shotgun first thing. It may have saved me radiation and hormone therapy if the source of recurrence could have been located. The rational for going to RT right away was based on studies that indicated better results were obtained if the RT was started before PSA has risen to .1. But I'm thinking now that the new scan obviates those old studies, when there was no hope of isolating the cancer and seeing if it was focal-metastatic instead of systemic-metastatic.
I hope they find a tiny spot of recurrence for you that can treated.
Age 60 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: 70%
Until 4/11, PSA <.01; 4/11: .01; 6/11: .03
10/11 <.01; 02/12 <.02
ADT3 started 7/20; WPRT 39 sessions ended 10/14:
Pelvic lymph nodes: 45 Gy; Fossa 66 Gy; Prostate bed: 71.5 Gy.
Lymphedema: confirmed 05/12 as result of lymphadenectomy at time of RRP and whole-pelvic RT
Post Edited (Riviere) : 6/25/2012 7:55:53 AM (GMT-6)