I am a little confused by your two postings. I think you are saying that you had radiation treatment and are also on hormone treatment every 4 months. You indicate that someone had died of prostate cancer--the way it is worded it almost sounds like you were referring to yourself.
What kind of radiation treatment did you have? You did not indicate your Gleason scores resulting from the your biopsy or your stage of prostate cancer before treatment. You seem to indicate that your biopsy was only 5 cores which doesn't make sense as that is too few to accurately project your stage of cancer. What is your age?
Do not look back at what you did or didn't do. Both surgery and radiation can often achieve the same results. With radiation, a margin of tissue beyond your prostate usually receives radiation treatment which may be more effective than surgery. With surgery, there is no guarantee that the surgeon will get all of any cancer that has spread to the margins beyond the prostate (which is the reason why surgery patients sometimes have recurring prostate cancer, which is often treated with radiation).
Hormone treatment does not eradicate prostate cancer--it just slows its growth down for a period of time and lowers the PSA readings.
With radiation treatment, it can take up to 24 months before the PSA will reach its lowest point (i.e., the cancer cells die off slowly after radiation treatment). The first PSA test after 3 months will hopefully be lower that your PSA before treatment. Don't worry about
your first PSA test unless it is greater than you pre-treatment PSA which is unlikely. On occassion, there is something called PSA bounce which means a higher PSA reading that the one before, sometime after treatment. In a great majority of cases where this happens, your PSA will eventually start to go down again. The prostate cancer experts say this is not something to get alarmed about
unless your subsequent PSA readings continue to go up.
Try to relax and not let this consume you. Unless you haven't told us some vitial information, it is too early for you to be thinking or worrying about
recurring prostate cancer.
As you will see by my footnote, I have recently finished proton radiation treatment and am awaiting my 3-month PSA results. I am not thinking about
recurring prostate cancer at this time. I feel very positive about
the future. If I have a setback at some point, I will deal with it at that time. In the meantime, I try to stay educated about
the most recent advances in the treatment of prostate cancer, especially for those who may have to deal with recurring prostate cancer in the future. Best of luck to you! Peace!
68, 29-core biopsy 9/27/06, PSA 7.1, Stage T1c, Gleason 7 (3+4) [less than 20% in one area], Gleason 6 [less than 5% in two other areas], negative DRE, bone scan and Endorectal MRI. Completed 39 Proton radiation treatments 2/22/07-4/18/07.
First PSA test to be taken 7/07.
Post Edited (pcdave) : 7/22/2007 9:11:38 PM (GMT-6)