i am lost for words after reading your answers to my questions. i am obviously not a doctor and can't really evaluate the facts and recommendations that the various doctors gave to your husband. it just strikes me that something is not right. you should do some research on the internet as to whether or not lymph nodes are usually removed during prostate surgery. i seem to recall that they are removed in many cases just from a precautionary standpoint, even if they were not deemed cancerous.
i think you need to find the best expert medical oncologist and radiation oncologist that you can find even if you have to travel from your home to get a 2nd opinion. The doctors should be from a top medical institution that has an expert reputation in treating prostate cancer. i don't know anything about
the reputation of the moffitt cancer center or its doctors, but you need to find new and independent doctors to discuss your husband's present PC medical situation to see if they can recommend any other course of action to treat his cancer. in your thread entitled "another newbie" i made some postings yesterday which you should read. they referred to the baylor college medical ceneter in houston and the university of florida proton center in jacksonville. the MD anderson cancer center in houston also has a new proton center for treating prostate cancer and other cancers. you may want to contact any or all of these three institutions to discuss your husband's situation and whether or not they might be able to help him with radiation therapy (as i mentioned yesterday, in more advanced cancer cases, they often use a combination of both x-ray and proton radiation). it was the article from baylor (whereby the university of florida medical center was also a contributor) that gave hope about
radiation after failed surgery. i do not have any first-hand information about
any of these medical centers, but i believe that they all have excellent reputations. maybe some of our members can offer some advice as i believe many have been from the texas area and possibly florida.
Review these news clips featuring Dr. Kevin M. Slawin who heads up the Prostate Center at Baylor under the title of Salvage Radiation Therapy Described on CNN and ABC World News Tonight. Go to his website: http://www.drslawin.com/news.html# he may well be one of the first doctors you may want to contract. Dr. Peter Scardino, the famed prostate surgeon now at Sloan-Kettering (SK) in New York City was at Baylor before he was recruited at SK. I am almost certain that Dr. Slawin has a superb repuation and is considered an expert in prostate cancer.
again, hormone therapy isn't going to kill all of the cancer--it will only slow it down and give a low PSA for awhile which can be a sense of false hope to the patient. eventually, hormone therapy can ultimately loose its effectiveness. you should find out if the cancerous lymph nodes could be removed now. they also need to run tests to hopefully isolate exactly where the cancer is located to determine if radiation therapy is possible.
in the medical world, i have read articles, for example, claiming that 9 out of 10 doctors will say that there is no more that can be done to treat a patient and, if you are lucky to find the 10th doctor, he will tell you that he can treat the patient. don't give up on this. forge ahead and get that 2nd expert opinion as quickly as possible.
god bless you and your husband--we are all routing for you!
68, Biopsy 9/27/06, Stage T1c, PSA 7.1, Gleason 6 [less than 5% in two areas], Gleason 7 (3+4) [less than 20% in third area], negative DRE, bone scan and MRI. Starting proton radiation therapy 2/22/07.
Post Edited (pcdave) : 2/13/2007 9:27:21 PM (GMT-7)