If surgery fails, what is the cure rate if external radiation is utilized?
Ok, I know this is an wide open and ambiguous question.
But I can't find anything on the probably of IMRT or other forms of radiation.
Does anybody know the ballpark probably for cure after surgery failure?
It probably depends on each individual case. I visited a Mayo radiation oncologist who confirmed that my particular case could be cured either by radiation or surgery.
He told me that it was 90% likely that surgery would cure me. And, in the event of a need for salvage radiation, the radiation completes the cure in 7 out of 10 cases I asked him if this meant that my chances for cure were therefore 97% and he said yes.
My particular case was a very small single tumor of Gleason 6. Similar cases would presumably net similar cure predictions.
You should probably ask a radiation oncologist about
this based on your own personal case and you'll probably get a reliable answer.
Resident of Highland, Indiana just outside of Chicago, IL.
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6.
CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
My surgeon was Dr. Matthew Tollefson, who I highly recommend.
Final pathology shows tumor confined to prostate.
5 lymph nodes, seminal vesicles, extraprostatic soft tissue all negative.
1.0 x 0.6 x 0.6 cm mass involving right posterior inferior,
right posterior apex & left mid posterior prostate.
Right posterior apex margin involved by tumor over a 0.2 cm length, doctor says this is insignificant.
Prostate 98.3 grams, tumor 2 grams. Prostate size 5.0 x 4.7 x 4.5 cm.
Abdominal drain removed the morning after surgery.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, 9/9/13 PSA <0.1. PSA tests now annual.
Semi-firm erections now happening 14 months post-op & VERY slowly getting a bit stronger.