Adjuvant Radiation After RP

Busted1 said...
Dr's office said a genome test would cost me $350 out of my pocket.

CHEAP for another data point. You will not know what it may tell you until you have the results, and it’s as non-invasive as it gets.

So why not

Garyl: that's my thought as well.

Tall Allen: Thank you for all your help, radiation was cancelled for Monday. My wife and sister in law, who is a pulmonologist, agree with you about being over treated. Getting uPSA and will start monitoring using that method. My doctor ordered the Decipher test, cost me $350, not a big deal for a little peace of mind. Thank you for the new link. Hopefully, I never have to have any further treatment, or at least, for many, many years, at 53 years old, I have a lot of life to live.

Tall Allen said...

Busted said...
Tall Allen: getting a uPSA and will delay radiation.

One of the conclusions in the article below ...
/pcnrv.blogspot.com/2016/09/very-early-salvage-radiation-has-up-to.html

Allen - Thank you for the walk down memory lane. The article you referenced, plus two subsequent links:

Declining trend in the utilization of adjuvant radiation
and
New Study: Adjuvant Radiation Saves Lives vs. Salvage

provided significantly helpful information one year ago when I was struggling with the decision whether or not to get AUS surgery in order to precede with adjuvant radiation. The articles had coincidentally been posted to your website right around the time of my RP in 2016.

There was no question whether or not to get adjuvant radiation. Both my Uro's and RO emphasized my T3B/SVI status as making the need for RT a no-brainer. The degree of urgency was the only variable at a time when it seemed that everything else was cascading around me.

In reading of the experiences of other men it's amazing the difference between those with T3a/-SM, T3a/+SM and T3b can be as regarding post-RP treatment timeline, OS and PFS... Very useful information!