Prognosis for persistent PSA after surgery

Tall Allen

Elite Member

Joined : Jul 2012

Posts : 10645

Posted 2/9/2015 12:39 PM (GMT -5)

It's not surprising that the prognosis is worse when PSA fails to become undetectable after surgery. Yet, some are curable and most remain met free for a long time. Here's a review about a small sub-group analysis of a German clinical trial:

What should one do if one’s PSA remains detectable after radical prostatectomy?

- Allen

Shaba.Doug

Veteran Member

Joined : Mar 2014

Posts : 959

Posted 2/9/2015 12:53 PM (GMT -5)

In spite of this, Wiegel is quoted in an ASTRO press release as saying:
"Our analysis demonstrates that patients who have detectable PSA post-prostatectomy may benefit from more aggressive, early and uniform treatment that could improve survival outcomes."

"This conclusion seems unwarranted based on the data. However, it is certainly a reasonable decision, and one that many patients will make in consultation with their radiation oncologists."

I'll be interested in seeing where I fit in this data set, having gone the HT route.

Cheers, Doug

woodpecker43

Regular Member

Joined : Oct 2013

Posts : 85

Posted 2/9/2015 2:10 PM (GMT -5)

Thanks Allen, you came through once again. I have searched for this information the last couple of years and found very little. This report is very helpful.

Woody

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