Dr. Lam said...
Rad. plus ADT plus taxotere --70% are still in remission after 7 years.
This is quite an amazing statistic for high risk patients, and suggests that adjuvant chemo may become more prevalent. When I talked with Dr. Scholz, he suggested that it would increase my chance of cure by 10% or so, but we didn't discuss an extension of time to subsequent biochemical failure if a cure was not obtained.
For many, there is a problem of deciding to pull the trigger without published studies. In my case, I had some qualms, but I simply could not find any oncologists in my area who would administer docetaxel adjuvantly,and couldn't afford to go to California for the time it would take to have it done.
Southern Comfort has spoken eloquently about
his experiences for those who want an informed first-hand view of adjuvant chemo.
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 7/11; WPRT 39 sessions ended 10/11:
Pelvic lymph nodes: 45 Gy; Fossa 66 Gy; Prostate bed: 71.5 Gy.
Minor lymphadema as result of lymphadenectomy at time of RRP and whole-pelvic RT