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@michaelcharles

Sounds more neutral than positive/negative.
I have aggressive PCa; G 9 w/ EPE. And post RP, my 1st PSA was "persistent" at .19
So I began a course of Salvage Treatment.
Now I am 2 yrs since completing that 2nd round of treatment and PSA has been undetectable < .02
I would love for my RO to be excited, but the statistics strongly suggest future recurrence. And he is supportive without being overly optimistic.
So while I hope for the miracle or a very long period of "silence", I settle for the excellent care and current results. And the thought that my treatment at today's levels of sophistication may gift me extended remission beyond the statistics suggested by studies of prior treatment results.
Best wishes.

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Replies to "Sounds more neutral than positive/negative. I have aggressive PCa; G 9 w/ EPE. And post RP,..."

A lot of doctors would suggest you go on a vacation from the drugs after two years and an undetectable PSA. Are you interested in doing that? For some people it does work and they don’t need to go back on ADT for a long time. Even with Gleason 9. Get monthly PSA test and if it rises at all, go back on.

One online meeting I was at had a guy come back who had his cancer come back 30 years after surgery and he was a Gleason nine. Waneted suggestions for care. I run into a lot of other people that were Gleason nine and have gone well over a decade in remission.