I had RALP with Dr James Eastnam at MSK on 8/16/18 MY Pretreatment PSA was 6.23 ng/ml

Post Surgery
Gleason score Primary 4 Secondary 3 Total Gleason 7. Grade Group 2

Clinical Stage. T 1 C NO MX

Tumor Type Adenocarcinoma Primary Tumor pT2 Organ confined

Percentage of prostate engaged by Tumor 15%

Perineural Invasion identified

No Lymph Node or Seminal Vessel metastasis

Post Surgery PSA was undetecable until .....
9/18/19. PSA .07 ng/ml
10/21/19 PSA .08 ng/ml
12/5/19. PSA. .10. ng/ml

Dr Eastham wants me to meet with a Radiology Oncologist Dr Borys Mychalczak. ?? for salvage radiation but have not met with him yet. Dr Eastham has a good reputation as a surgeon however recurrence of rising PSA is not his specialty He did not appear all that interested One person who seemed eager to help was Chuck Maack (Prostate Advocate)

His response :

"Recommend fluciclovine/Axumin F18 PET/CT to first find out where cancer cell activity is still present before salvage radiation that would only cover the prostatic bed and its periphery. If cancer cells have migrated beyond that area the radiation would be fruitless. Medicare covers this recently new form of imaging. Your treating physician may want to permit your PSA to elevate more to beyond 1.0 ng/ml."

THANK YOU CHUCK!

RESEARCHING AS MUCH AS POSSIBLE and appreciate anyone's thoughts observations or experiences !! Appreciate your experience and time to help me and all the men navigating this insidious disease

Best. Keith

PSA prior to Surgery 6.23. Gleason 3+4=7. Margins Clear Organ Confined Disease

RP. Surgery 2018

Radiation 2020. 72 c Gy. Prostate Bed Lymph Nodes

6 months Lupron

sharpcut's e-mail address is: keith AT geretyrestoration.com (replace "AT" with "@")