Post IMRT PSA

2 months after completion of IMRT, psa came back 0.01. No lingering side
effects from treatment.

Tom

***********

LRP 5/21/03
-- age: 48
PSA 8.1
Gleason 7
Margins all clean
PSA thru 2005 undetectable
6/2/06: PSA 0.05
6/9/06: PSA 0.06
8/1/06: 1st of 30 IMRT sessions
PSA 11/9/06 0.01

"peter*pan" <peter*pan@neverland.com> wrote in message
news:62b58279a84d2812581a57d3300fb8ca@localhost.ta lkaboutsupport.com...

>2 months after completion of IMRT, psa came back 0.01. No lingering side
> effects from treatment.

PSA crashed and burned on the ground. That's great, Tom!

Many happy returns.




--
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06, 6/06
PSA .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
PSA <0.04
Non Illegitimi Carborundum

Peter, what sorry for being ignornt here, but IMRT after RP< when your
PSA (based on the sig), was staying/already low?

what am I missing?

peter*pan wrote:
> 2 months after completion of IMRT, psa came back 0.01. No lingering side
> effects from treatment.
>
> Tom
>
> ***********
>
> LRP 5/21/03
> -- age: 48
> PSA 8.1
> Gleason 7
> Margins all clean
> PSA thru 2005 undetectable
> 6/2/06: PSA 0.05
> 6/9/06: PSA 0.06
> 8/1/06: 1st of 30 IMRT sessions
> PSA 11/9/06 0.01

Anothr dummy question related to your Tx: LRP removed the prostate, so
after undetectable period, PSA came back in 2006 from where? There is
no prostate, so does it mean the cells have metastasized, therefore,
wouldn't chemo be the next step? Why IMRT since there is no more
"target" to radiate?

peter*pan wrote:
> 2 months after completion of IMRT, psa came back 0.01. No lingering side
> effects from treatment.
>
> Tom
>
> ***********
>
> LRP 5/21/03
> -- age: 48
> PSA 8.1
> Gleason 7
> Margins all clean
> PSA thru 2005 undetectable
> 6/2/06: PSA 0.05
> 6/9/06: PSA 0.06
> 8/1/06: 1st of 30 IMRT sessions
> PSA 11/9/06 0.01

Sorry for the typos, my keys sometimes stick.

cmdrdata wrote:
> Peter, what sorry for being ignornt here, but IMRT after RP< when your
> PSA (based on the sig), was staying/already low?
>
> what am I missing?
>
> peter*pan wrote:
> > 2 months after completion of IMRT, psa came back 0.01. No lingering side
> > effects from treatment.
> >
> > Tom
> >
> > ***********
> >
> > LRP 5/21/03
> > -- age: 48
> > PSA 8.1
> > Gleason 7
> > Margins all clean
> > PSA thru 2005 undetectable
> > 6/2/06: PSA 0.05
> > 6/9/06: PSA 0.06
> > 8/1/06: 1st of 30 IMRT sessions
> > PSA 11/9/06 0.01

cmdrdata wrote:
> Anothr dummy question related to your Tx: LRP removed the prostate, so
> after undetectable period, PSA came back in 2006 from where? There is
> no prostate, so does it mean the cells have metastasized, therefore,
> wouldn't chemo be the next step? Why IMRT since there is no more
> "target" to radiate?
>

The cancer can escape the prostate and still reside in the prostate bed
(the area where the prostate used to be). Radiation can do a good job
of killing the cells if they haven't left the bed. The radiation can
hit the lymph nodes, seminal vesticles (if not completely removed) and
the fatty area around the bladder and rectum.

They can create beams to hit these areas and not dose the bladder and
rectum to any great degree.

I think hormones and chemo are mainly used when the cancer cells have
migrated to distant parts of the body.

John

no problem - good questions

As John already replied, cancer cells may have escaped the prostate and
found a home in the prostate bed - or elsewhere. When psa rose from
undetectable to measurable, my last shot at a "cure" was 1) that that is
where the cancer was, and 2) the radiation would finish the job. IMRT
focused on a small area - maybe the size of a softball or smaller. So far
so good.