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    User: dmh

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    Procedure or Surgery: I am a 70 y/o male, still very active, working part-time and very scared. In Jun 2010 I underwent a radical prostatectomy with a Gleason of 9. Although occupying 50% of the prostate and near a margin, there was no breakthrough of the margin, no seminal vesicle or node involvement. PSAs dropped to <0.008 until Dec 2011. Two PSAs since then have been 0.02 & 0.03. My surgeon recommended salvage radiation. The radiation oncologist recommended a 5 week course of radiation, a repeat PSA and another 11/2 weeks of radiation. The reason for the break is to see if the PSA decreases - if not, stop and move to hormone therapy as the cancer has metastasized. For a second opinion, I went to a major university cancer center in our city. The urologist strongly disagreed with radiation, due to side-effects, no evidence it will help, with my high Gleason, and would watch PSAs until about 0.2 and institute hormone therapy. Although, he did refer me to one of his radiation oncologists for another opinion. My wife and I came home today and cried together over this apparent dismal outlook and confusion. If there is a chancre the cancer has not spread past the surgery site, why not try radiation? I'd rather try than let this opportunity go by. Is there anyone out there with a similar experience or any advice. We're contemplating a trip to MD Anderson for a 3rd opinion???
    Thanks,
    MantoMan

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      MichaelV

      My personal opinion is that radiation has limited usage when it comes to "guess" where the cancer has spread to. I was told that my cancer was all contained and lymph nodes were checked and no cancer anywhere. My PSA was zero for two years and then all XXX broke loose. If I had known more I would have skipped the radiation as it was like looking for a needle in a haystack. I had 8 1/2 weeks of radiation and it brought the psa down but not out since it had already spread to my bones in at least three places. The side effects suck!!! You will NEVER have an erection again and at the time I figured it was no erection or death in a year or two. NOT TURE and that XXX me off. MY Gleason score was 7-8. From what I see, 1 out of 3 have a reoccurrence regards of the method used to remove the prostate. Happy to give more info if your interested.
      Best of luck,
      Michael

      almost 5 years ago
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