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Latest PSA .147; now what?

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Posted 1/15/2015 2:50 PM (GMT 0)
Hi guys,
I've been lurking for quite a while now. After my last hormone shot, I took a cancer break. My psa went from .1 last Feb. to .147 a few days ago. Still have slight stress incontinence. At this point, what do you guys think is the next course of action for me? This may sound stupid but I was actually relieved that the psa had only risen to .147 after almost a year. Also, anyone have a good prostate oncologist in the New Haven, Ct area? At this point, would salvage radiation still offer a realistic chance for a cure? I'm sure many here have experienced the frustration of ultimate failure of all treatments recommended by their doctors. Example, when I asked my radiologist about being more aggressive in treating the entire prostate bed, he felt it was not needed at the time. I now wonder where the cancer is and if reradiating is the best treatment at this point. I work and financially am not able to mess up my work schedule. Everyone's insight here is very much appreciated. I'm off to work so I won't be able to check back till tomorrow. Thanks to everyone.

Mike
Posted 1/15/2015 4:48 PM (GMT 0)
Different schols of thought but one is the add 2 to your nadir which appears to be 0.039. So keep monitoring PSA until it gets close to 2.039 and have treatment then.

Though any increase is a concern, it appears to be growing very slowly at less than 0.05 per year first one 0.044 and latest one 0.047. So set a bencmark of 0.05 and see how close next year's PSA is to 0.197, and react accodingly

LupronJim
Posted 1/16/2015 11:13 PM (GMT 0)
Good advise. Thanks Jim
Posted 1/17/2015 2:35 AM (GMT 0)
Yes, salvage radiation may still give you a chance at a cure, but, really, if you want to try that road, don't wait. Your odds go down the longer you wait. You want to address this while the doubling time is still long, possibly indicating that it's still local. There is a significant advantage to treating sooner rather than waiting. Now, salvage radiation will involve a treatment every weekday for 7 weeks, but you can probably find a place close to where you live or work to have it done.

- Allen
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