Radiotherapy Completed Yesterday

I had 4 weeks of SGRT. 

PSA at start was 0.9. Two months after completion of RT it was 0.06. 14 months after completion of RT it was 0.01.

Congratulations on the treatment milestone  

I hope your next PSA test is even lower than before. Bare in mind there could be a " PSA bounce" after radiotherapy, which is a temporary benign small rise in PSA. I had a couple of those in the months after RT.

G

Great news Jay,

After a radiotherapy you should reach your nadir or lowest reading in about 18 months time as it keeps working long after you have completed your fractions.

Great news about your RT team. I went back to mine a few days later with a mountain of chocolate!!

Best wishes - Brian.

Good to see your SGRT has been completed with minimal side-effects and your team looked after you so well Jay. Your initial chemo caught my eye as I’m G9 as well with iliac lymph node involvement, but with a lower start PSA (18). My urologist suggested up-front chemo in his hand-over letter to the oncologist but she advised 60Gy of pelvic radiotherapy. Just wondering if your start PSA of 44 was ever mentioned as the reason chemo was planned first?

Hi Amp,

The main reason I had upfront chemo was because I had periprostatic deposits  (part of the extraprostatic extension/EPE), and one of the deposits was close to my Bladder, so my Oncologist wanted optimal shrinkage going in to Radiotherapy, without this shrinkage it was questionable whether that stray deposit could have been included in the Radiotherapy field, thankfully everything shrunk drastically and that deposit virtually disappeared and moved away from the Bladder allowing the full dose curative treatment to commence... 

Being younger and fit I was actually going to ask for the upfront chemo anyway as it would also  potentially deal with any possible distant micromets early, so I agreed with her treatment plan instantly...

All the best

Jay

Thanks Jay. I understand that now. Maybe my enlarged (12mm) lymph node was the reason the urologist / MDT made that suggestion. The oncologist did mention she couldn’t rule out microscopic spread through the lymphatic system but said she could deal with that later, if it occurred. Hopefully not…!