Bob, it’s interesting that the PET didn’t show anything at a PSA of .59. I don’t know the answer. I’m guessing tht with that kind of a rapid rise, you could have micro metastasis that is producing the PSA, thus you’d be radiation the prostate bed with no benefit. But the alternative is HT alone, which likely won’t offer the possibility of a cure, just a stabilization. So I don’t kn0w the answer, it’s probably gonna be your decision on. What you feel comfortable with.
I’m not only not a doctor, but I’m not one of the more knowledgeable guys here, so wait for others to respond.
Dx Age 64 Nov 2014, PSA 4.3
BX 3 of 12 cores positive original pathologyG6, G6, G8 (3+5)
downgraded to 3+3=6 by Dr. Epstein, JH
RALP with Dr Ash Tewari Jan 6, 2015
Post surgical pathology – G7 (3+4), ECE, Margins, LN, SV all negative
PSA @ 6 weeks 2/15, .<02, remained <0.02 until January 2017, .02, repeat Feb 2017, still .02. May 2017-.033, August 2017- .033 November .046, March 2018 .060. June 2018 .068
Decipher test, low risk, .37 score
My story.... tinyurl.com/qgyu3xq