Well I had the second opinion with the radiation oncologist yesterday.
I had a good long talk with him (brought my list of questions) and he basically confirmed what my inclinations were about this disease and my future course of treatment.
* There is not a best practice for my stage of cancer: not enough data points. Medical professionals disagree.
* Given my stage, there is a good probability that there is residual cancer left behind in my prostate bed.
* Given my pathology report and slow rate of PSA rising, there is a good chance that it has not spread.
Therefore, since radiation is my best hope for a cure, I would prefer to err on the aggressive side in treating this disease. The Dr. agreed. So what we agreed the best course of action would be is:
* Have a merry Christmas
* Have one more PSA test at my regular 3 month interval
* If it is still 0.1 or higher (which I suspect it will be) go for the salvage radiation.
We will see here.
52 Year Old DBA by profession; amateur pianist by passion.
June 2006: PSA 4.6. DRE prostate enlarged.
Aug 2006: Second opinion confirms first. Biopsy suggested.
Sep 2006: Biopsy results positive one lobe. Gleason 3+3.
Nov 2006: RPA performed at Fletcher Allen in Burlington VT.
Nov 2006: Pathology report: Stage T3a and Gleason 3+4.
Dec 2006: PSA 0.1
Feb, May 2007: PSA 0.0 (under 0.1)
Aug, Nov 2007: PSA 0.1