I was diagnosed with PC in 12/07 biopsy glesson 3+4=7 pre RP PSA 8.9.
post op pathology Glesson 4+3=7, negative margins, nodes and seminal vessals clear with small extraa capsular extension. PSA fell to 0.04 after 6 months but then began to rise and was 0.16 by 12/08, and SRT was recomended. Started SRT in 01/09 PSA fell progressivly to <0.03 in 03/10 and then started to rise with PSADT initially at 3 months now down to 2 months with PSA 06/11 at 0.86. My latest CT and bone scan has identified I have small tissue modularity in the prostate bed as seen on the CT scan and MDP avid focus in the left Ischium on the bone scan, though both reports state that it is not clear these represent metastasis. My urolologist has started my on mono line therpy of 25mg Androcur (an anti androgen) to watch and see what happens over the next few months. I have another opinion that says I should have a second bout of SRT and HT. I am seeing my radiation oncolgist tomorrow to seek his opinion (he had previously stated that I could not have further radiation). My question to the discussion board is, has anyone heard of treating only with mono line therepy and just anti androgens?
i would have expected with a fast PSADT that it should be hit hard with LHRH or even CAB for 9 mths and then see what happens. If anybody has found themseleves in similar circumstances I would be greatful for your experiances.