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Prostate Cancer

PSA levels 6 weeks after radical prostatecomy

11/16/2009

Question:

61 yrs of age, 3+4 gleason, psa 3.02 prior to surgery gleason score remaining same level in final patholgy. 3 postive margins including left bladder neck lymph nodes not removed no seminal visicle present although patholgy states not submitted in specimen. perineural invasion is present PSA 5 weeks after surgery 0.38 - urology appt in 5 weeks Thank you very much for your time and your expertise in this... I feel we should not discount that this may be more advanced than first thought and we should be agressive with adjuvant treatment in 90 days.

Answer:

It sounds as though you need adjuvant therapy with radiation therapy. I would seek an appointment to initiate radiation sooner than later.

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Response by:

Lee E Ponsky, MD Lee E Ponsky, MD
Associate Professor of Urology
School of Medicine
Case Western Reserve University