Sisira Posted February 22, 2017 Share Posted February 22, 2017 This is very encouraging for me. I was diagnosed in February 2015 at the age of 68 with no PCa related symptoms but with elevated PSA of 11.7ng/ml. Needle biopsy confirmed PCa of GL 9. I underwent open RP in March 2015. Post surgery staging : T2c No Mx, GL 4+5=9 and positive surgical margin. 3 weeks after surgery PSA fell undetectable, yet I underwent IMRT and ADT with 50mg Bicalutamide added alongside for a period of 2 years ( continuous protocol ) completing in end April 2017. Throughout this treatment period up to now my PSA checked every 3 months has remained at 0.008ng/ml. My treatment has been adjuvant and not salvage. According to Gim's article I can be very optimistic about my prognosis and most likely to pass 15 years of recurrence free survival when I come off the present treatment regimen. But according to the information I have, it is very doubtful because the treatment with ADT + antiandrogen can only suppress the disease progression whereas Radiation treatment is only localized ( focal therapy ) though curative. But the fact remains that there could have been microscopic cancer cell leakage into my blood and lymphatic systems even before surgery whilst the tumour was within the the capsule of the prostate gland ( micro metastasis ). Higher the GS the more will be this vulnerability. Therefore I am contemplating seriously to go for an early cytotoxic whole body treatment to kill all hidden microscopic cancer cells before they could launch their attack on me. What I really mean is to go for a big hit with Chemo Therapy up front, although my PSA has remained undetectable.All hormone therapies are only palliative and they fail sooner or later and too much dependence on them can deprive us with the early opportunities of taking curative treatments or pushing the cancer into a stable and long term remission. I would appreciate very much if the wise men in this advanced PCa group comment on my above view points. Sisira Link to comment Share on other sites More sharing options...
This topic is now archived and is closed to further replies.