Salvage radiation

[Guest guest]

Alan,

Still on ADT and expect to complete three years, so two more jabs. I'd like to take a treatment holiday then, if all goes well, but I shall have to wait until August to find out if my oncologist agrees. He may want to play safe and keep me on the Zoladex - I'm more inclined to see what happens if I come off it for say a year.

To: ProstateCancerSupport Sent: Thursday, 6 May, 2010 23:27:30Subject: Re: salvage radiation

DAVID COLLINS <sirenetta@btinterne t.com> wrote:> ... My own experience, a GS 9, PSA 63 diagnosis reducing to> PSA 0.3 nadir after radiotherapy and ADT but bouncing around> thereafter and currently 0.7 for six months, two and and a half> years after diagnosis ...,Are you still on ADT? If not, when did your ADT treatment end?Thanks,Alanalan

[Guest guest]

There is a wonderfully useful discussion of salvage radiation

in the following article:

http://www.prostate-cancer.org/pcricms/node/59

Terry,

If you have a discussion of salvage radiation on your website

you might want to consider adding a link to this article.

Alan

[Guest guest]

I certainly agree that this paper is a

very useful one, Alan and should be of help to anyone in their decision making

process.

I found it a little confusing at times in

that although the title of the piece seemed very clear: Nine Decisions

Before Electing RADIATION THERAPY After

Radical Prostatectomy, it seemed to also touch on radiation as a primary

therapy and as a neo-adjuvant therapy. This is of course understandable, but I had

to pay close attention. As an example, when I read this

<snip> Some might be better served without radiation. For example, a man

75 years old, with some heart issues and diabetes, who has slow growing cancer

with PSA doubling time of 1.5 years, might decide to avoid the lost time,

expense, and quality of life risks of radiation. His slow growing cancer might

never affect his quality of life, and if it ever does become a problem later

on, hormone therapy might give a long remission as well.

On the other hand, a younger, 60 year old

man in good health, with fast, 6 month PSA doubling time and high Gleason Score

4+5=9, is at high risk of progression and may choose radiation. <snip>

My initial thoughts were that the

references must be to primary radiation therapy because I would have thought

that surgery in the second case might not have been considered as the best the

primary treatment. It was clear from a re-reading that this was not the case

and the examples were given for post prostatectomy.

I also think it would have been helpful to

spend a little more time on the ADT issues and also to highlight sexual issues

kin the side effects table. After all, that is the prime focus of many, if not most

men when considering the potential side effects of the various therapies.

But, as I say, Alan, a good paper and one

that I’ll link to from my site.

All the best

Prostate men need enlightening, not

frightening

Terry Herbert - diagnosed in 1996 and

still going strong

Read A Strange Place for unbiased information at http://www.yananow.net/StrangePlace/index.html

From:

ProstateCancerSupport

[mailto:ProstateCancerSupport ] On Behalf Of Alan Meyer

Sent: Friday, 23 July 2010 4:56 AM

To:

ProstateCancerSupport

Subject: Re:

Salvage radiation

Alan Meyer

wrote:

> There is a wonderfully useful discussion of salvage radiation

> in the following article:

>

> http://www.prostate-cancer.org/pcricms/node/59

Oops. Sorry, that was a higher level link than I should have posted.

The specific link is:

http://www.prostate-cancer.org/pcricms/sites/default/files/PDFs/Is13-2_p8-17.pdf

The link I posted is to a lot of publications on the same site. The

specific one is in the May, 2010 issue. The link above gets you

right to it.

Alan