Great comments and good clarity, thank you. And I've seen that article in the past, but thanks for calling to to my attention again, I've printed it out just in case, and am keeping it in my file with my Surgical Path Report. Hopefully I will never need to refer to it.
Its interesting the article sort of contradicts some of the newer findings cited on this forum about
SRT being most beneficial when it is started early.
At the end of the day, what I am taking from all this, is that if I start to see a rising PSA, I will want to take advantage of SRT if it is truly a second shot at a cure, but have to balance that with not wanting to do it until absolutely necessary.
Question: do you know what the lowest level of PSA is that can be detected on a STANDARD PSA test? I'm wondering, if I should talk to my Dr before starting the PSA testing, and ask him in view of my lack of ability to keep things in perspective, if we should just do the standard tests for now.
Thanks very much for your detailed explanation. It is very helpful
Rising PSA from 2008 through April 2013
PSA 2008 - 2012 .7 TO 2.2
Dec 2012 - Biopsy, 14 core, nO PCA, one core HGPIN
4/13 PSA 2.8, FPsa 11, PCA3 13, 10/13 PSA2.7 fPSA 15
4/14 PSA 3.1 fPsa 16, 10/14 PSA 4.3 fPSA 12 PCA3 26
11/14 BX 3/12 cores + G610%, G6 20%, 3+5=8, 70%
2nd opinion Johns Hopkins, all G6 10%, 20% 80%
3rd opinion MSKCC all G6 10%, 15%, 70%
RALP scheduled January 6th 2014
Final pathology stage pT2c, upstaged to Gleason 7 (3+4)
ECE, Margins, SV, Lymph nodes (9) all negative, PNI present.
5% involvement of Prostate by tumor.
My story, at tinyurl.com/qgyu3xq