... i also started out as a 3+4 who had an RP that seemed to work just fine for a while and then SRT that did not faze the recurrent PCa. It's a strange experience the first time they tell you that you've graduated from "favorable intermediate risk" to "high risk."
Oh man, I feel so sorry for you, Tomson and AK123. I had noticed over my short time here that it seems to be the 3+4 guys who start out with favorable pathology that suddenly end up with rapid PSA rise for which SRT has little or no affect. This pretty much tells it all right here:
Path: G7 (3+4, tertiary 5); ECE-, SM-, LN-, SV-; PNI+
PSA thru 11/15: <0.015; 2/16 .031(!!) -->1/17 .194
Post-SRT PSA 5/25/17: .338; 8/31/17: .491
I can't imagine what a blow that must be. First you get the initial shock of "what, I have cancer?", then are told (most likely) that it is curable... only to be blindsided down the road with this terrible news.
And then there's always the well meaning acquaintances who tell YOU that prostate cancer is totally curable, and you can only say something like, yeah, in early stage, mine is not.
A tough road for you guys. I pray that newer treatments
open up a brighter future for you.
2014-15: PSA's 9, 12, 20, 25... Neg DRE's, false neg TRUS biopsy
6/16: MRI Fusion biopsy, Right Base, 2x40%+2x100% all G8 (4+4)
8/16: DaVinci RP, PNI, 6mm EPE, 11 LN-, 53g 25% involved Grp 4, BL SVI, T3b n0m0
1/17: started 18 months Lupron ADT, PSA's ~.03
5/17: AMS800 AUS implanted, revised 6/17
8/17: RapidArc IMRT 39 tx (70 Gy) Aug-Oct 2017
1/18: PSA 0.00, Now test every 3 months for a trend