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RARP Pathology report questions

Prostate Cancer | Last Active: Feb 5 8:17am | Replies (13)

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@michaelcharles

Your 90 day (or 60 day) PSA will tell the story and direct next step options.
Surgery Aug 2022. My 1st PSA was 90 days postop and .19 (retested 30 days later at .18) and called persistent PSA.
Postop pathology G 9, EPE; surgical margins, lymph nodes and seminal vesicules were clear; stage pT3aN0X0
Began Salvage Radiation Treatment to whole pelvic region together with pelvic lymph nodes and 4 mos ADT.
Began ADT in Feb 2023 and radiation in Mar; 37 IMRT txs 66.6 gy to prostate region (and 45 gy to lymph nodes).
ADT completed June 2023.
1st uPSA Nov 2023: undetectable at < .02
This may or may not be your future course. It was an unpleasant Feb - Nov, however my tx results were and have been as good as it gets, so far.
Have been doing well for last year +.
Wishing you an undetectable 1st postop PSA.

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Replies to "Your 90 day (or 60 day) PSA will tell the story and direct next step options...."

Thanks MichaelCharles,

Sounds like you had ADT about six months post surgery and radiation seven, seems like a common timeline, feb - nov 10 a month unpleasant period sounds pretty reasonable based on what we are all dealing with here, only question is when did the radiation stop ie June July just wondering if we need to be prepared for an additional X number of months to heal or feel better from the radiation side.

Glad to hear everything has been going well for the past year and wishing you many more of doing well ahead.

Thanks Again.

Al