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Medical Forum / Diseases and Disorders / Prostate Cancer / February 2006

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Post salvage radiation PSA

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Love2camp5@cs.com - 28 Feb 2006 00:38 GMT
As you may remember, Jim completed 35 salvage IMRT radiation treatments
in the beginning of October.  BTW-he did very well with almost no side
effects.  His first PSA after that was taken right at the end of RT and
came back at undetectable.

I guess what I want to know is  this.  Should they absolutely stay at
undetectable, or is it possible to have  some PSA show up and not
really mean anything?  I was surprised when the PSA was undetectable so
quickly and now I feel like we're set up for real upset if they don't
stay that way.

I thought radiation gave a slower result.

Thanks,
Linda
Steve Kramer - 28 Feb 2006 01:19 GMT
Linda,

The use of radiation as a curative treatment will usually result, as I
understand it, in a quick drop that tends to level out over time while
cancer cells are self-destructing.  Although 0.06 is almost to the bottom of
the readable scale, it might even go lower.

The fact that Jim's went to the cellar, I cannot help but to believe that
all his cancer, or almost all his cancer, was contained in a small area on
his prostate bed.

Let's face it; you're going to be terribly disappointed if his PSA starts to
rise (three times).  But, the fact is, you have really good reason to hope
that he was cured with his one-two punch.

> As you may remember, Jim completed 35 salvage IMRT radiation treatments
> in the beginning of October.  BTW-he did very well with almost no side
[quoted text clipped - 11 lines]
> Thanks,
> Linda

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 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, 5/05, 10/05,
2/06
PSA  .07 .05 .06 .09 .08 .132
Non Illegitimi Carborundum


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