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Need RP salvage radiation advise

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Posted 7/7/2009 6:06 PM (GMT 0)
Thanks for the input JT. I am still hoping to get more advise on how best to proceed. Start RT now or stay on HT for 6 months and then monitor? Is there any increased risk to waiting and monitoring?

Most everything I read says adjuvant has the edge over salvage. However I would prefer not to over treat if it's not needed. Wish this wasn't such a difficult decision for me. TC-LasVegas? Anyone?

Thanks

       CS53

Posted 7/7/2009 6:57 PM (GMT 0)
Hi CS53,

The probability of recurrence of being 50/50 with positive margins is the same thing my uro said. His protocol was to wait until there was a rise in the PSA before beginning RT. My margin I think is smaller than yours; mine was 3 mm in length. He stated that waiting vs adjunctive radiation was about the same as long as you don't wait too long after a confirmed rise.

For me I chose to wait because I am leary of the side effects and I am recovering nicely up to this point and don't want to upset any progress that I have made if I don't have to.

Best of luck to you in your decision process...I know it isn't easy.
Posted 7/15/2009 7:40 PM (GMT 0)

Thanks for you input LV-TX. I am leaning toward RT basically for one of the reasons you stated. I had a large amount of prostate tissue left behind (7 cubic centimeters). We know there was PCa in that tissue. Whether or not it is still alive or will ever be an issue is anyone's guess.

How do you go about making a decision like this when even the experts have differing opinions on what to do and when to treat? Is this really such a difficult decision or is it just me?

Thanks

       CS53

Post Edited (CS53) : 7/15/2009 1:49:50 PM (GMT-6)

Posted 7/15/2009 7:42 PM (GMT 0)
CS, that is exactly what makes PC so hard to deal with, the very question you just asked. I am in a similar situation after a supposedly good surgery last November. Even the experts vary on how best to make the next step. I am watching your thread closely too.

David in SC
Posted 7/16/2009 2:49 AM (GMT 0)
Have you seen this study ? http://prostatecancerinfolink.net/2009/01/22/new-data-from-two-studies-on-adjuvant-radiation-and-thalidomide-post-surgery/

I was surprised at the numbers.
Posted 7/16/2009 2:54 AM (GMT 0)
Had not seen that report before, it was very informative thanks for sharing
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