Prostate Cancer Survivors

 

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Re: PSA Treatment

Bob,

At lest two of the good doctors you mention support AS (Active Surveillance) in principle in appropriate cases - low PSA being one measure. I have never understood why they inist that 'earlier the better'; 'treat as soon as PSA shows it's head' is appropriate in one set of circumstances but not the other.

Surely Strum's mantra ASSESS STATUS BEFORE DETERMINING STRATEGY applies in all circumstances, not just on initial diagnosis?

All the best
Terry in Australia

Re: PSA Treatment

Gosh Bob, what a thoughtful and informative posting. I am going to clip it and store it and it'll be a valued resource if I find myself with those sorts of issues in the future.

Re: PSA Treatment

My husband is in a similar situation. He had his surgery in 2004. His psa at that time was only 4.2
The final pathology report showed that both seminal vesicles were involved and he was diagnosed as T3B.
His psa stayed down for about one year. Then he had 32 radiation treatments. Again he did OK for about 2 years. Then the psa started to climb again until it reached 1.2 It stayed there fro several years. Last June it began to climb again. He has it checked every three months. Last one was in March and it was 3.2 Both his urologist and oncologist are holding off on any other treatment right now. He had a bone scan last month which was negative and he feels good.
I am a registered nurse and I read as much as I can about PC. There are many different opinions. More than looking at a number (10) both of John's doctors are watching his doubling time.
YANA is a great site.
Best of luck to you.

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