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Prostate Cancer Community

Reply: PSA

Sent on 9/19/11 - John@newPCa.org (aka) az4peaks

Posted by az4peaks2

9 Replies | Reply | Watch This DiscussionReport This| Share this:PSA Sent on 9/19/11 - John@newPCa.org (aka) az4peaks

Reply: Choice between brachi therapy and radiation.

Hi to you both, - I have an article, just Posted today on another Website and too lengthy...

Posted by az4peaks2

5 Replies | Reply | Watch This DiscussionReport This| Share this:Choice between brachi therapy and radiation. Hi to you both, - I have an article, just Posted today on another Website and too lengthy...

Reply: prostate cancer

Hi seuell, - There is no question that you have definitely had a recurrence of your...

Posted by az4peaks2

Hi seuell, - There is no question that you have definitely had a recurrence of your Prostate Cancer (PCa) and salvage radiation is considered the last chance for a possible "cure" of the disease. Unfortunately, it will only be potentially successfull if your recurrence is a "localized" one and is not already, more advanced, "systemic" disease.

This is often very difficult to determine, and since you give no post-operation details of pathology found and/or sequential monitoring PSA history, any recommendation as to secondary treatment would be pure guessing, rather than informed and thoughtful consultation.

Overall, Salvage Radiation is effective in about 50% of the cases in 5 year statistics and something less than that, in 10 year results, which reflects the problems with confidently identifying the source of a recurrence.

The probable reality is, that at 71 y/o, you need to decide whether the POTENTIAL for cure is sufficient to risk the POTENTIAL morbidity (side effects) of further "intent to cure" treatment. But this should be an INFORMED decision based upon the most reliable information available, about your SPECIFIC situation.

With an actuarial life expectancy of about 12.5 years, the question that needs to be posed, is it necessary to cure your disease or is it more logical, based on what you learn, to try and effectively CONTROL the now chronic disease until you will most likely die of some other fatal malady.

All of these considerations depend on such facts as the extent of any residual effects from your surgery, existing co-morbidities, general health and your present life style at 71. There is lots to think about and seeking guidance from the professionals, available to you, who have the availability of ALL your records is wise.

I would suggest that, in addition to your Urologist, you have consultations with a Radiological Oncologist and a Medical Oncologist, before deciding on your next treatment decision. Good luck! - John@newPCa.org (aka) az4peaksView Thread

Posted byaz4peaks2

7 Replies | Reply | Watch This DiscussionReport This| Share this:prostate cancer Hi seuell, - There is no question that you have definitely had a recurrence of your...

Reply: Rising PSA

Hi Jembost, - Although there is no need to panic, there is justification for reasonable...

Posted by az4peaks2

6 Replies | Reply | Watch This DiscussionReport This| Share this:Rising PSA Hi Jembost, - Although there is no need to panic, there is justification for reasonable...

Reply: PSA

Hi jc3737, - It depends on the quality and location of your research. Your initial Post...

Posted by az4peaks2

9 Replies | Reply | Watch This DiscussionReport This| Share this:PSA Hi jc3737, - It depends on the quality and location of your research. Your initial Post...

Reply: Post radical prostatectomy PSA

Hi again flapwing, - To clear-up the relative relationship of ug/L to ng/ml, it is as...

Posted by az4peaks2

2 Replies | Reply | Watch This DiscussionReport This| Share this:Post radical prostatectomy PSA Hi again flapwing, - To clear-up the relative relationship of ug/L to ng/ml, it is as...

Reply: Post radical prostatectomy PSA

Hi Flapwing, - You must not be in the United States (U.S.). It is customary in the U.S....

Posted by az4peaks2

2 Replies | Reply | Watch This DiscussionReport This| Share this:Post radical prostatectomy PSA Hi Flapwing, - You must not be in the United States (U.S.). It is customary in the U.S....

Reply: psa .064 - is that normal?

Hi AN239590, - We need to first know which PSA result has the correct decimal point. I am...

Posted by az4peaks2

2 Replies | Reply | Watch This DiscussionReport This| Share this:psa .064 - is that normal? Hi AN239590, - We need to first know which PSA result has the correct decimal point. I am...

Reply: Prostrate Cancer and Intercourse

Hi, - Prostate Cancer is NOT a communicable disease, so the answer is NO. -...

Posted by az4peaks2

3 Replies | Reply | Watch This DiscussionReport This| Share this:Prostrate Cancer and Intercourse Hi, - Prostate Cancer is NOT a communicable disease, so the answer is NO. -...

Reply: Ejaculation and PSA readings

Hi David Roy, - Since you apparently still have a Prostate, the rise in your PSA reading...

Posted by az4peaks2

2 Replies | Reply | Watch This DiscussionReport This| Share this:Ejaculation and PSA readings Hi David Roy, - Since you apparently still have a Prostate, the rise in your PSA reading...

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