After radiation

for the apparent lack of success with the 'double' therapy you received.  I also don't understand what happened. Maybe someone else can formulate an hypothesis? However, the really important point is to not give up and study, with the help of medical specialists, what to do now. In that context, can you go to one of the National Centers for Excellence, like MDAnderson, Memorial Sloan Kettering etc?

https://www.cancer.gov/research/nci-role/cancer-centers

Earlier thread: https://csn.cancer.org/node/316736

Old Salt is right... you need a really expert opinion and shpuld not lose faith in highly reputable organizations... can't you just have them review your case? Disregard all the"evil pharmaceutical companies" articles. Yes, many of them are in it for profit... but many professionals are sincere in their quest to better the lives of cancer victims.

I am guessing, and I am the least expert opinion here... is that the cancerous volume was severely decreased, but the cancerous cell volume left behind has increased in activity. releasing much more antigen than before. In other words, including prostate tissue, and surrounding tissue in the prostate bed that has invasion, and even possible metastases, let's say there are 200cc of prostate cells in your body. They put out only 67 ng per ml of prostate antigen because they were relatively quiet that day. Then let's say 150cc of prostate cells were destroyed through treatment. The remaining 50cc of prostate cells are agitated and active, and possibly receptive to increased levels of androgen, so they put out 74 ng of antigen. Smaller clumpings of prostate cells are putting out the same or slightly higher levels of antigen than the original larger clumping of cells in the prostate that was treated.

I just dont know if this is the time to give up without at least consulting with one of the institutions mentioned by OS and maybe some others members could mention as expert in PC diagnosis and treatment. 

And, again just my opinion... keep doing the holistic, but dont expect it to exterminate your Prostate Cancer cells that remain behind, no matter what anyone told you. (dont shoot the messenger, just my opinion).

Livingman,

You are not a bummer but a respected survivor. I am sorry for you because you were caught with the disease so young. You need to treat but as you comment “ …. sometimes treatment does more damage than good …”. Try balancing things.

I have no satisfying opinion to offer you on the increase of your PSA, at the three months post RT. One could think on the bounce phenomenon typical in RT guys that can increase the PSA to high levels and vary along a period of two to four years before it settles to a nadir. However, this occurrence has no fixed pattern and differs from patient to patient. In some guys it never happens and in some it takes time before it starts to decline.

One aspect I think that should be considered is the genetics of prostatic cells, in particular the cancerous ones, with genes that have been identified to be behind the cause of the cancer. Not everyone got them but, for instance the famous BRCA1 and BRCA2 are now much used in genetic tests for the screening of prostate cancerbecause they are commonly found in guys with cancer. These genes are thought to be associated with aggressive disease too. Moreover, cells with a series of mismatch repair genes are also known to be more resistant to DNA damage because they manage to get repaired while on its life cycle. In other words, if the timing of the radiation blow doesn’t fit such optimal period in the cell’s life cycle, the sudden killing is not assured. The damaged cell can still duplicate and produce PSA, dying much later due to its imperfect DNA. The process can take time before the body shovels the buggers to the garbage bin.

Best wishes and luck in your journey.

VGama