Well, although we hit it hard with the triple whammy of RP, RT and 12 months ADT, there is little doubt that we missed something and PSA is rising quite rapidly.
After being undetectable in the last quarter of 2015, I have now had 3 rises, 01/16 .01, 03/16 .03, and 06/16 .09.
While the numbers are low, this represents a pretty short doubling time.
At my last visit with the Uro, I asked at what point we should restart ADT, and he said probably not until PSA hit about
10. That surprised me, and given the short doubling time, I am even more sceptical about
waiting til then.
So what determines restart of ADT, a specific number or specific Doubling Time? Appreciate any views.
Am also now going to find a Medical Oncologist, but as far as I can detect, there is no one locally who specialises in PCa, but there is a Genito/Urinary guy, so may seek him out. Alternative is to go to Sydney where there are a couple of Prostate specialists at the Chis O'Brien LifeHouse cancer centre.
How important is it to get a PCa specialist oncologist, rather than a general oncologist?
Age 68 at Dx
10/08 to 03/13 PSA 2.9 < 7.1
07/13 Bx 4+ cores from 12 GL 4+5 Scans clear
Path: Gl 4+3 PNI, bladder mgn +, SV, LN Neg, pT3a N0 Mx
10/13 PSA .03
11/13 PSA .07
12/13 12 month ADT
01/14 37 sess of RT
05/14 Incontinence back
11/14 Retentive due to RT nerve damage. SPC installed
12/14 ADT Break
05/14 - 09/15 PSA <.01
Post Edited (Chask) : 6/30/2016 4:22:35 AM (GMT-6)