When to commence SRT?

And one more thing...

Yet another study was just published demonstrating that true GS 6s never metastasize and never cause death. This study was out of the Netherlands. They examined the pathology reports of 1101 consecutive RP patients operated on since 1985 with follow-up up to 150 months (12.5 yrs).

Among men with GS≤6, they found the following on follow-up:
LN mets: zero
Distant mets: zero
PC-specific death: zero

Disease-specific death and metastasis do not occur in patients with Gleason score ≤6 on radical prostatectomy.

Pretty convincing, no?

- Allen

http://prostate-cancer.org/using-psa-intelligently-to-manage-prostate-cancer-part-2-of-2/

In the document above, "Using PSA Intelligently to Manage Prostate Cancer: Part 2 of 2" by Jonathan McDermed, in section "Expected PSA Levels After RP" it mentions:

"PSA levels that are measured three or more weeks following a successful RP should be zero, or at least very close to zero, and stable. The presence of PSA in the blood after RP indicates a failure to remove the tumor completely, and the reappearance of PSA at a later date indicates tumor recurrence. Exceptions to this include cases where unilateral or bilateral nerve-sparing surgery or laparoscopic procedures leave benign tissue behind. In such patients, PSA levels will often be detectable using a third-generation PSA test, albeit at a very low concentration."

Does anyone know how accurate and reliable this document is, and also does anyone know how reliable and independent the author is?

Thank you ...

Frederick

Post Edited (Zeddy) : 8/23/2014 6:10:42 PM (GMT-6)