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  • Just got my 1st PSA 6 months post radiation and ADT.

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    Old 08-21-2020, 01:32 PM   #16
    IADT3since2000
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    Re: Just got my 1st PSA 6 months post radiation and ADT.

    Hi again noonereal,

    Quote:
    Originally Posted by noonereal View Post
    The doctor is a radiation oncologist at Sloan Kettering, DR. Zelefsky takes the lead.
    OK, that puts it in a completely different light as MSK could arguably claim to be the leading institution doing prostate cancer radiation and related research in the whole world. They have pioneered radiation treatment and case management for prostate cancer, and I have personally benefited from some of the advances they led, as have many of us.

    You are in good hands. Follow what the doctor advises. (I'm envious.)

    Jim

    .Jim

    - - - - - - - - - - - - - - - - - - - - - - - -
    Diagnosis Dec 1999 PSA 113.6 (first ever), age 56
    Gleason 4+3=7 (J. Epstein, JHU), all cores +, most 100%; "rock hard" prostate with ECE - stage 3, PNI, PSADT determined later 3-4 months; technetium bone scan and CT scan negative; prognosis 5 years.
    Later ProstaScint scan negative except for one suspicious small area in an unlikely location. ADT Lupron as first therapy, in Dec 1999, then + Casodex in March 2000, then + Proscar and Fosamax in Sep 2000. Rejected for surgery January 2000; offered radiation but told success odds were low; switched to ADT only vice radiation in May 2000, betting on holding the fort for improved technology; PSA gradual decline to <0.01 May 2002. Commenced intermittent ADT3 (IADT3) with first vacation from Lupron & Casodex. Negative advanced scans in 2011 (NaF18 PET/CT for bone) and 2012 (Feraheme USPIO for nodes and soft tissue). With improved technology, tried TomoTherapy RT, 39 sessions, in early 2013, plus ADT 3 in support for 18 months (fourth round of IADT3), ended April 2014. Continuing with Avodart as anti-recurrence shield. Current PSA remarkably low and stable at <0.01; apparently cured. (Current T 99 6/5/20.) Supportive diet/nutrition, exercise, supportive medications during this journey, as well as switches in antiandrogen, 5-ARI, and bone drugs.




     
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