1 year update

You’re doing well.👍

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Part I
2015 (Age 54) PSA: 20.8
Bx: All cores G7 (4+3)
RALP & Adjuvant RT
Pathology: G8 (4+4)+5
PSA nadir: 0.1, steady increase until 2019: 64.13

Part II
2019, March: Lupron/Xtandi, PSA: 1 month: 0.126; 3 months: 0.036; 6 months: <0.02

Down ward is good....
Congrats..

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DX 7/23/18
Gleason 9
Prostate size 44
stage T2B
No mets.
PSA 5.2
6/16 probes positive 2 maybes.
All on right side 1 on the left
Age 65 with lung problems.
HT 8/22/18 2nd 2/28/19 8/28/19 Eligard 6 month shot
UROLIFT 10/24
11/11/18 IGRT/IMRT finished 1/17/19
5/1/19 Right middle lobectomy

Buddy, I read that too. The article had something to with the aggressiveness of the cancer. And that if it drops slowly that it's not as aggressive, etc.

This trend is your friend. It can take five years to reach PSA nadir following radiation as a primary treatment. And throw in a few bounces here and there. Be patient and enjoy life.

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PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard and Jalyn started on 10-7-2010. IMRT to prostate and lymph nodes started on 11-8-2010, HDR Brachytherapy December 6 and 13, 2010.
PSA < .1 since February 2011. Located in Cumming Georgia north of Atlanta

ldog - I just met with my uro and RO, and had about the same conversation. My pre-treatment PSA was 5.69, and now, about 3 years out from SBRT, it is down to 1.55. Mine has been a slow and bumpy decline, but both my Uro and RO agree that the slower trend down is a good thing, as are the bumps I have experienced in my journey. Don't fuss or worry, just watch the long-term trend.

Also, remember, it isn't considered a recurrence until it hits your nadir (lowest point post-treatment) plus 2.0. So, in your case, unless your PSA exceeds 3.3, it is just bumping and making noise. (Might make you uneasy, too, but probably not your uro, unless it shows an upward trend.)

Good job. Keep up the good work!

P.S. You have been to the sensei of seeds, at least here in the middle of the States. Trust in him, too.

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Age 68 at Dx
PSA history: 2000-2012 0.9-1.2; 06/2012 started T replacement
2013-2015 3.0-3.3 (new normal); 11/2015 4.6; 05/2016 5.7
Biopsy: 12-core biopsy 07/2016; 3 cores G3+3, 5% or less; 1 core 3+4, 15%; 1 core HGPIN; 2% of gland involved. Summary G3+4.
CyberKnife SBRT with Dr. Hirsch; start 11/15/16, finish 11/23

My RO says RT for PCa is a marathon and not a sprint. Every treatment option has advantages and disadvantages. Those of us that choose any of the radiation treatment options don’t get a pathology report; however, all the treatment options have to monitor PSA. That said RT guys usually escape some nasty side effects that the surgery guys can have. My RO also says that PSA can be a bumpy road and that’s not necessarily a bad thing. Bounces are common between 18 and 36 months and happen in about 25% of RT guys. Those guys and those with a slow downward trend tend to do very well in the long run. Nadir may take three to five years to achieve. Good luck. 👍

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Rising PSA
11/12 1.98
11/13 1.95
9/15 3.28
10/16 5.94
1/17 3.0
TRUS 1/17
Bx: Three of twelve cores adenocarcinoma Gleason 6 (3+3)
all on left side and <5%, no pni
DOB 7/21/47 good health.
Age 69 @ Dx
Treated with SBRT by Dr. Tendulcar @
Cleveland Clinic 6/23/17
Reduced ejaculate is only side effect. Everything works
PSA’s post SBRT 1.1, 1.1, .9, 1.8, 2.7, 1.0