ADT treatments began in 1940's to treat distant metastasis. Much has changed but CR is still a challenge for many. Sadly, the death rate from this disease is not falling, nor are the number of men on...
I read them by not focusing on thousandths. Note I have been testing to three digits for nine years since my RP nadir of 0.051. As I chose to rely on <0.010 as best indicator I accepted cancer...
Jim, some of is post RP rely on <0.010 and lower and not 'undetectable'. I realized <0.010 for two years then slow stable progression through .01X range, then 0.02X range, then 0.03X range for last...
Multiple tests are needed to confirm pattern. Several times over years I tested again, within a week or so. I saw these as affirming and not data points for pattern tracking....
Patrick, sharing my thoughts/experiences (not sure I qualify as smart). Prior to my RP nine years ago I settled on uPSA <0.010 as best indicator and accepted values above most likely indicate cancer...
Dalota, you wrote quite a bit to/about me so I shall respond. First, please look at my most recent replies to Chris. I do strive to share my experiences for others to take or leave. I do not tell...
One more Chris, I was just thanked for posting this in topic "PSA Stabilization". In case you have not seen this: this article was published when I was diagnosed in 2014. I always note l such...
All good Chris, yes emotions can be very high and challenging, not only because this is cancer, we face so many disparities. Although I have no certain answers for my very low stable uPSA for past...
Hi Chris, answering your questions, my post RP pathology was G4+3 (initial path opinion was 3+3 which was upgraded to 3+4 on 2nd and 3rd opinions). Taken lymph nodes were clear. One section indicated...
Chris, apologies you had to think about my comments at dinner. In my last reply I wrote I was thinking to not comment further – for IMO I had shared enough for what I see as a take it or leave it...
ChrisR, a good discussion - this topic has been my focus for nine years. Because you are thinking all this over – a further share (again not promoting a position – simply sharing my experiences. I am...
Dakota, The stated Objective of the article you cite is to see “if benign glandular tissue (at the surgical margin (BGM)) increases the risk of biochemical recurrence.” (not measurable (misleading)...
Dalota if you are asking me no I make no such suggestions. I do believe we face many disparities with this beast. Given the rising death rate, given number of men on ADT is also rising, and the fact...
humm, any research or collegiate text to share on this?...
For past seven years my uPSA is holding very low stable 0.03X range, no ADT. (Post RP, salvage RT to prostate bed, salvage extended pelvic lymph node surgery, one-year bicalutamide). Although it...
We face so many disparities. My salvage RT was done at 0.11, so yes in fact, US docs will treat at 0.1. My salvage lymph node surgery was done at 0.13. Note I went to Europe for this - all US centers...
Comments based on my experiences. Watched and waited while my uPSA rose from post RP nadir of 0.051 to 0.113 to do salvage RT to prostate bed; nadir 0.075. Immediately accepted we missed. When it was...
I am coming up on several years of 'very low stable' uPSA following my third treatment, salvage extended pelvic lymph node surgery. This is the progression I am tracking - important to note no ADT:...
Chris, I do not want to endorse fear nor denial. My third treatment, salvage pelvic lymph node surgery, confirmed six cancerous lymph nodes at uPSA 0.131. That cancer had to be present and growing at...
Are you thinking recurrence after all these years? At the time of my RP nine years ago, based on JHU research, I settled on ultrasensitive PSA and <0.010 as best indicator. I make sure the labs I use...