Posted 8/4/2012 3:38 PM (GMT -6)
Depends on what school of HT thinking your oncologist has in mind. Some, go for early HT treatment in a case like yours, where you have failed both surgery and radiation. I am in a similar boat, I failed surgery in 9 months, and failed salvage radiation in less than 9 months. I am 2 1/2 years out of radiation, and when my PSA was last checked in April, it was up to 37.x. So you have a long way to go in comparisom.
My oncologist, affiliated with MD Andersen, is of the school of Later HT, not early. He feels strongly about it, and it happens that both my uro and my GP agree with him. Right now, we are keeping an eye on things, and there is no evidence of any mets even with a reading of 37. He feels in my case, that he might bypass HT when the time comes, and use Taxotere, a chemo agent, instead, to shock the cancer.
The 20 million dollar question is, where is the cancer? With as much radiation as I had, 72 gys, its not believed to be in the prostate bed. It's believed to be in multiple micro sites, each giving off PSA readings, that collectively add up to my latest reading. It's kind of hard to treat, when its not know where it is at.
Best bet at this point for you, is to have a meeting with your oncologist, and see what his/her sense of direction is at this point. THough not impossible, it's highly likely you are in any danger of mets with a reading that low. But it is time to think about the future, and have a plan in place.
HT will effect quality of living issues for you in lots of ways, my doctor is sensitive to that fact. It varies a lot from guy to guy, and can be mild and annoying all the way to severe. That is something that you have to weigh into for yourself.
Good luck ahead, as you think through this juncture you find yourself at.
David in SC