Adjuvant or Salvage RT Post Radical Prostatectomy

Seth R. Blacksburg, MD, MBA, discusses the clinical significance of biochemical failure post-radical prostatectomy (RP). He then reviews the literature comparing the advantages and disadvantages of adjuvant and salvage radiation therapy (RT) for biochemical recurrence. Furthermore, he summarizes consensus guidelines, meta level considerations and debates regarding adjuvant and salvage RT, and prospective trials.

[@shaverlocal]

After a decade of very low psa, post surgery (no radiation) my PSA has gone from .3 to point .6 in less then 3 months. I had a Glason score of 3+3. What does that say about my survival statistics and life expectancy? I'm not interested in the salvage therapy options. Thanks, Mark

[@photoworkszach]

It is possible that you are having a biochemical recurrence of your prostate cancer. You need to keep following your PSA and follow up soon with a medical oncologist soon to answer your question. We cannot answer that for you.

[@javar888]

Did you do anything about it?

[@elitetrader5468]

@@photoworkszach He already had a biochemical recurrence once the PSA was at 0.2. I wonder if he meant 0.03 and 0.06.