At .05...yeh why do anything and being as far post treatment as you are with a minor dose of casodex..what is the issue...try no treatment for a year...even...two if there is any thing going on ...you will know then...extreme advice...maybe...maybe not...some times if you want to die with something other than Pca...you may have to learn to live with it...counter intuitive....so much of this disease...and its effect is dis ease...I know...I know It ain't easy...but work on controlling the body with mind...rather than the reverse...not pie in the sky...good ole biscuits and gravy...down home...go for it gents...I thrive on different opinions...just don't muscle me when you dis agree...get ahead of the future...
what is your age...a signature would help
I'm doing fine with casodex monotherapy and don't consider change the current treatment until it fails. This is my MO's recommendation too.
I agree that no scan will show anything at this PSA level. But don't know if the disease is progressing and it is not producing much PSA. I know it's a rare situation. I lost a friend this summer whose PCa mutated to NEPC.
Age 64 (56 when dx), surgery Jan 11, path report: t3b, GS 8 with tertiary 5, SVI, neg.margins.
PSA 3 months post op 0.03. Started Adj ADT May 11 and IMRT Jan 12. Last Lupron shot June 12.
PSA 0.003 May 11 - April 13
PSA 0.8 Nov 14
Casodex monotherapy since Dec 2014 with 50 mg daily, current dosage two 50 mg tabs per week. PSA stabilised around 0.25