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Treatment after rp radiation and 2 bcrs

Prostate Cancer | Last Active: Nov 16, 2023 | Replies (15)

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@spino

Kevin, that chart is incredible. Of course, I hope I never have one with so much on it.... I think BCR (biochemical recurrence) is by definition based on PSA, right? The imaging then tries to figure out the why behind it.
From your chart, it looks like I could call that two BCR's, which you have marked with the red graph lines.
I spent some time studying your chart just now, and my biggest reaction is just one from the heart--this has been a challenging and frustrating journey, but you are still alive and taking action with your medical team. My secondary reaction is to soberly brace myself, because there may be much more to my own PC journey than I have yet experienced.

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Replies to "Kevin, that chart is incredible. Of course, I hope I never have one with so much..."

Yeah, coming up on the 10 year mark. During that time I have seen both daughters graduate from college and establish themselves in their lives, celebrated 10 Christmas, Thanksgivings, anniversaries....taken vacations to Iceland, Colorado, Oregon, the Big 5 in Utah, Grand Canyon, elsewhere...you get the idea, lots of living!

I am fortunate, 27k or so die each year, my treatment has so far meant I am not one of them. Roughly three years on treatment, seven off.

I have chosen to be aggressive faced with a pesky and aggressive cancer. I have also taken an approach which says actively monitor off treatment, go back on treatment early and then for a definitive time, coming off based on clinical data my medical team and I agree to.

You are correct, BCR is generally defined by a detectable and rising PSA, what that level is depends on whether you had radiation, surgery, using an ultra sensitive PSA test or standard one.