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Old 08-23-2010, 09:37 AM   #1
Baptista Baptista is offline
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PSA Relapse Following Salvage Radiotherapy, can you help?

I am looking for information related to issues of PC diagnostic and treatment after Salvage Radiotherapy.
In accordance to a report by R. Choo M.D. from Mayo Clinic, researches have been few, uncompleted or null to identify the best practice to treat cases of patients experiencing a relapse after major treatments. In my case (ten years of survival), I had RP followed by SRT and now I expect to continue the “standard protocol” with ADT, however, the only indication of recurrence is a rise of the PSA (I have no prostate). My doctor told me that his cutoff (level) for starting the ADT is a PSA=1.0.

A resent MIR was negative for metastasis and I am asymptomatic, surely the rise in PSA (0.05 to 0.79) validates the presence of prostatic cells but not recurrence of the cancer. Never the less I am skeptical to accept the idea of treating a “number” rather than a symptom.

I would like to receive opinions and accounts of cases with similar conditions. Can anyone in this forum help me?

Appreciated for any available information,
Baptista