Prostate Cancer Survivors






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Re: How significant a factor is PSA velocity in recurring PCa?

Dave; Sorry to read that you are in this position again. It is something we all fear and something that is a real possibility. It is what we all live with.
I understand your concern as the recurrence seems very fast moving. IF it is indeed cancer again, it appears to be the aggressive sort alright, having come back at such a pace. As you said, the biopsy will give a much better idea. It could be that this is not a recurrence of the original cancer but a totally new development.(?) I have often wondered if that might be a risk of treatment that leaves "healthy" prostate tissue behind. The original tissue contracted cancer so what is to keep the healthy left-overs from developing new cancer later in life? It is probably one of those questions that there is no answer to as is so common with this disease. Maybe some of our wiser more informed brothers here can elaborate on that.

At this point I guess all that can be done is about what you are doing, taking steps to find out more and moving accordingly. As I was recently reminded by a brother in this, cherish the cancer free years one has enjoyed and proceed with life on the course that best suites your plan. I can feel your fear of the effects of whole gland treatment and they are not unwarranted - but still better than suffering/dying from this "slow moving" disease. If your apparently aggressive recurrence gets "out of the barn", options are limited and it is now free to roam. Keep us informed. We are all in this together and are pulling for you. Jon R.

Re: How significant a factor is PSA velocity in recurring PCa?

Everything I have read over the years suggests a doubling time of less than one year represents an aggressive recurrence.

Unfortunately you are again confronted with a series of difficult choices.

As part of your research effort you may find my online journal helpful; see If you decide to take a look I suggest you begin with the entry titled "To My Family, Friends and Cyberspace Buddies"

Like you:

--A PET scan indicated my recurrence is limited to my prostate gland

--Thus far I have avoided whole gland treatment because of reported outcome data.

A final note: You may find my most recent journal entry particularly interesting. It addresses the issue of whether to treat a recurrence immediately or watch, wait and monitor.