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ADVANTAGES VS. DISADVANTAGES FOR SALVAGE RADIATION WHEN PSA IS LOW !!!!

DIPSTICK
Posts: 4
Joined: Apr 2014

Is there any advantage to early intervention with salvage radiation since my psa is so low( 0.044 ) vs. waiting on the 0.2 threshold ?

VascodaGama's picture
VascodaGama
Posts: 1562
Joined: Nov 2010

Earlier salvage treatments are considered better than Watchful Waiting, but how “earlier” should that be started, it is not defined. There is no particular better survival rate by starting a treatment before recurrence has been verified. In other words, “topping” a therapy over a previous one without any concrete evidence of a benefit, or with no factor of failure at hand, it is not as practical or even recommended. Some guys freak out with tinny PSA variations (I believe it be your case) and become blind to the risks of treatments.

Please read this; http://www.touchoncology.com/articles/salvage-therapy-prostate-cancer

As commented in my previous post to you, I would watch close any continuous progressive curve of the results (in three continuous increases) and then decide on the salvage treatment, even if the number is not the AUS recommended threshold of PSA=0.2 ng/ml.

In any case, you are the one to decide. Trust your feelings.

VG 

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