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Wally, I empathize with your situation, but I would expect you have a chance at a cure if you do the radiation therapy since your numbers are so low. Back when I had radiation almost 14 years ago or so, the conventional wisdom was to start radiation at 1.0 after recurrence from surgery that did not eliminate the cancer. These days they want to have some regimen of hormone therapy something like 4-6 months prior to the radiation which enhances survival rates per some studies (shrinks the tumor burden and thereby increases effectiveness of the radiation). If you like you can see my information on this site under Allen Z. If you read my story you will see that I have had a relatively slow progression after the radiation treatments and have taken no further treatment (other than Finasteride which seems to be controversial depending on what study you read) and am now at 2.6PSA. I will consider Lupron when I get to 4.0 but not sure-will deicde if/when that level is attained.