What if?

Okay, so I'm a g9 with a contained, negative margin PCa. I asked my uro last visit what his plan was if my psa began to rise. SRT? Or intermittent HT? His thoughts were; in my situation, SRT would not be indicated as we would be dealing with systemic disease. He did reserve all options because it might depend on how soon it began to rise, and how fast it rose......so

I'm wondering if there is an accepted standard for my situation. Of course it seems that there are few "standards" with PCa.

Thoughts? Opinions?

K

Logo--that,s the big dilemma for a lot of us. We're hoping to see if if the C11 acetate imaging can help with the systemic vs. Local question.
HERE'S THE LINK (hopefully)

http://www.rad.kumc.edu/nucmed/Research/c11.htm

Wampuscats

Logo,
There are a few nomograms for SRT. You plug in your pre op numbers and your post op numbers and they will spit out probabilities of success. I know Hopkins has one and there are others. I would use this information along with your doctor's recommendations to arrive at a decision of what it is worth to you personally.
It's basically a trade off of additional side effects vs the probability of a cure and the answer will be different for everyone. The C11 scans are also a good idea for your decision making.
JT

John T. Of course, how else would they know in non surgery situations when a case is possibly systemic. I know they don't know for sure, but decisions in this disease by necessity are based on probabilities, I do forget that. EDIT On a reread I did not express that well, I totally get your point tho.
F8 You will have to take my word that I will never do SRT even if I have BCR. this is based on by age mostly, as well as my post op path, negative dis and dat. My pet peeve with SRT of those of a less riper age is totally based on the latest trend, driven, by latest studies of doing it at the slightest hint of a rise in ultra sensitive psa. I do admit I am skeptical of studies, made in the medical field, that tend to drive treatments earlier and earlier, knowing what I have seen in studies and how they can be manipulated in the same way as advertising manipulates the consumer. Call me a cynic, but on established giants such as insurance companies and the medical industry, and not just these, but all huge entities are being less driven by their supposed objective. Its very much money driven, which does not mean the participants are evil, just manipulated by the forces out there and it will get worse before it gets better IMO Its not a huge conspiracy with some one in charge, its just evolved into that paradigm, but that too will pass into another paradigm,ad nauseam, quicker and quicker imo. I just agreed with some one in another post that maybe he should do SRT even with a .02. So I am not dogmatic. Since you did not ask a question, I will not ask if you are sorry you asked, with my long-windedness, lidat As we used to say in the day when this all started to shift, Peace!