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Posted 3/12/2008 3:20 PM (GMT 0)
Do you know of any Web sites I can go to in order to research Post-Op rise in PSA.  I am a VA patient and no telling when I will be able to get to a Doctor.  Our local VA serves 160,000 Vets.  Thanks.
Posted 3/13/2008 4:01 PM (GMT 0)
Rock50 - just giving this a bump for ya. So much traffic on here lately things get "lost" quickly!

All the best,
Susan
Posted 3/13/2008 8:22 PM (GMT 0)
Thanks myman. Fortunately and unfortunately there is a lot of traffic
Posted 3/17/2008 1:38 PM (GMT 0)

Sara,

Thank you.  I started with the article but they wanted me to purchase a subscription, which I really would have no use for after this.  I took your suggestion and googled Recurrence of Prostate Cancer and found a good article in JAMA.

http://jama.ama-assn.org/cgi/content/full/291/11/1325

It is a little dated and so I will continue to search but again I thank you.

Posted 3/17/2008 7:53 PM (GMT 0)
Rock in addition to the report listed, my RO also sent me this study performed at Stanford University and since confirmed at Mayo Clinic. The topic is on Whole Pelvic Radiation Therapy or WPRT. It suggests that when treating the pelvic lymph system the results are improved in high risk patients as opposed to just treating the prostate bed (PBRT). He has since stated at our USTOO meetings that this is now widely accepted. In both studies, the patient is post surgery and high risk but with no recurrance as yet.

http://www.ncbi.nlm.nih.gov/pubmed/17459606?dopt=Abstract&otool=stanford

Tony
Posted 3/18/2008 12:57 PM (GMT 0)
Sara,

Your personnal opinion on a PSA rise from .02 to .07 in 60 days. What has me concerned is the fact that my PSA remained constant for 19 months (.02 - .03) then in a 60 day period jumps to .07 which is still a low concentration, yet a drastic rise. The articles I have read have a wide and varying range of opinions. I have always educated myself on this disease and my heart problems. I know most people would like to think Medicine is an exacting science in every area, but unfortunately that just is not true.

I have found over the years the best way for me to make decisions on treatment is to collect as many professional opinions as possible, read as many studies as I can before becoming Inundated with information, and then along with my physcian decide on a course of treatment.

The long and short of this is that you must be a dedicated Physcian if you are on this site and responding to patients for what could be no other reason than you are also compassionate. I would value your opinion on the PSA rise.

Again, thank you for your time and valued opinion.
Posted 3/18/2008 2:22 PM (GMT 0)
Thanks Doc. I have come to the conclusion that before I jump through any hoops I want to see another PSA to see: one if it is continuing to rise and second to see the amount of rise.

Your God sent for a VA patient. Thanks again Doc.
Posted 3/18/2008 5:19 PM (GMT 0)
TC,

Thank you very much very helpful.
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