My levels have not risen since the surgery. Now they are at 0.1. My Doctor wants to radiate the area because he says the growth is slow and should be in the area of the removal of my prostate. I am 55 years old.
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Q: Radical prosectomy 5 years ago. PSA level now to 0.1 Doctor recommends radiation treatment.
Answers (1)
9/19/09 4:17pm
.. I've read that some don't believe cancer has returned until PSA rises to .2. Although I am not a physician, your own probably is giving you conservative advice. I'd look for a 2nd opinion and then if they match do the radiation. Sounds like he thinks the potential cancer might still be localized. Did you have any extraprostatic extensions before your surgery?
9/19/09 5:05pm
Are you a prostate cancer patient?
9/19/09 5:50pm
Yes, I was diagnosed with PC on 4 March. My pre-treatment PSA 5.6, and biopsy 9 or 12 cores positive, and Gleason 7. I had an RRP on 4 May, catheter removed within 2.5 weeks, and back to work on 4 June. My post-treatment results were, negative margins, negative seminal vesicles, negative lymph nodes, encapsulated (no extraprostatic extension) and Gleason 6! Just went back to the doctor this week for the first time, and my PSA test result was <0.1 which, as you know, in test terms is below the detectable threshold. I was lucky. I go back for another PSA test in three months. I elected RRP b/c of I am 55 and I needed to know the PC was taken out. I've been told that with current radiation therapy as the first course of treatment you can never be sure.
9/20/09 8:21am
Thanks for your comment....I had a RP at 50 and levels started slight increase at 55 to 0.1. I guess they neve know for sure, so let's enjoy life to the fullest and do what we can to increase our lifespan.
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...I did get a second opinion and the Doctor recommended that we do blood check every 3 months and if the PSA continues to rise, then we could opt for radiation. Until til then, we would do nothing... No, I did not have extraprostatic extensions before my surgery. Thank you for your opinion:-)