radiation for positive margins

Hi 6071,
I am interested in more of your story. It's been 6 months and you have had a clean slate with the PSA's. I am a proponant of adjuvant radiation in cases like yours but there are some differences of what we call standard here in the States. 33 treatments of which kind of radiation ~ EBRT or IMRT? Is this standard protocol in Ireland?

Tony

TC-LasVegas

i think i am getting IMRT radiation will ask tomorrow

Purgatory
when i had rp surgery my surgeon said i was to get it.
over hear we have a waiting list so it could be long wait if i have a rise in psa
we are not as fast over hear with treatment as you are in the usa
if you have the cash it is fast
surgery is done in 1 hospital radiation in an another hospital
had a ct scan in june and a ultra sensitive psa test i still did not get the psa results i will get it next week sometime
did not meet one doctor to day just the radiation team
and i had to drink loads of water before the radiation treatment plus i have to drink 2 liters a day
thanks

I may be on the same track in terms of time. If my PSA's stay at zero, I am not planning on adjuvant radiation until my incontinence and ED are stabilized (hopefully). Even then I am not sure if I will do it until my PSA starts to rise.

Statiscally it doesn't appear to be a lot of difference between adjuvant and salvage, if salvage is begun early enough, and from a morbidity viewpoint, there is little difference.

6071, our history is quite similar but I'm 53. I'm getting my 12th rad today, 1/3 done with it. I had one margin, called a 'close' by one Doc, a 'positive' by another. It was "into the orange peel but not out of it" (meaning the prostate). My Rad Oncologist cited a european study, long term, which found a 40% chance of recurrence vs < 5% with radiation if any of the following were found in the surgery path report or first post surgery PSA test: involvment of the seminal vesicles, lymph nodes, high PSA or ....a positive margin.
I'm taking the rad even though there's not much chance one cell escaped the scalpel, but if one cell did escape, that's it, no cure.

Post Edited (zampilot) : 8/28/2009 6:34:16 AM (GMT-6)