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Medical Forum / Diseases and Disorders / Prostate Cancer / March 2005Heard of this Salvage Protocol?
I had planned to start salvage RT and had an appointment back in Jan. to get a Lupron shot as part of that Tx. I also had an appointment w/ a new uro the day before. The uro told me that he had seen no proof that adjuvant HT prior to and during RT had any beneficial effect on salvage RT (as opposed to primary RT). He also said no rush since my PSA was going nowhere fast. I called and cancelled the Lupron and put the RT on hold pending further developments. Last week I saw the uro again and, although my PSA had not changed in 3 mos., and he agreed that the chance of a cure w/ seminal vesicle involvement was low, he blurted out something to the effect of: "If it were me I would start HT, get the RT, and continue the HT for a year." Where in the hell did that come from?!? Not only is it a flip flop on the adjuvant HT, it is a protocol I have never heard of. Is this guy just grabbing at straws or what? I hate this; I think I have a good doc and I've got it pretty much figured out, and then he throws a curve like that. Bill Denton RP 2/12/02 PSA .45 Memphis Just another example of why we have to take responsibility for our own treatment. I have run into similar confusion with my uro. Told one thing on one visit, and then the story changes the next time. There is a lot they do not know and it shows. I think you have to pin the guy down and say that he told you almost the exact opposite on the last visit and ask for an explanation. If you do not get a good answer, that would indicate to me time to get a different doctor. Just my opinion. > I had planned to start salvage RT and had an appointment back in Jan. > to get a Lupron shot as part of that Tx. I also had an appointment w/ a [quoted text clipped - 16 lines] > PSA .45 > Memphis BILL... you may want to go to: http://www.chat.prostate-help.org and bring this confusion up at their tuesday night chatroom...Good Luck! Keith Lundy/So. California 40 Proton Beam Radiation Treatments Loma Linda Univ.Med Ctr..3/03-5/03 There seems to be a growing amount of research to indicate that early use of HT is helpful, but as IP has pointed out, all completed studies, albeit less inclusive, have come to the opposite conclusion. So, at this time, I'd also have a hard time accepting asymptomatic HT. But, RT is another matter. I agree your PSA has seeming leveled at .40 +/- and it seems on one hand that why fix it if it aint broke. But, geez, how do you take the chance? I think I've said this before. I would absolutely hate to be in your shoes and have to make this decision every 3 months. But, I think that's what I would do. Have a PSA every 3 months and then make a decision.... over and over again. It's a hell of a way to run a railroad.  SignaturePSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3bN0M0 Seminal Vesicle involvement, Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05 PSA .07 .05 .06 .05 non Illegitimi carborundum > I had planned to start salvage RT and had an appointment back in Jan. > to get a Lupron shot as part of that Tx. I also had an appointment w/ a [quoted text clipped - 16 lines] > PSA .45 > Memphis
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