Posted by Bjorn Lundquist on June 12, 1999 at 15:13:04:
In Reply to: Re: Ca Prostate posted by CLDing on June 12, 1999 at 11:54:12:
We would have considered a patient with a PSA for RRP just five years ago, probably after an attempt to downstage with TAB. Which we now are aware of is not a good way. I've seen just a few too many men with M+ disease after just a year.
It is very unlikely that a patient with a PSA of 29 doesn't have N+ disease. So even XRT would give poor results. If the lymf node field is covered by XRT this might delay progress, but most likely not. Probably XRT following TAB is a better option in those patients than anything else. In Sweden the public health situation is such that a 60 yr old man with no concomitant disease is a man with a fairly long life expectancy. How is this in Malaysia? I'm impressed by your English, by the way - although I spent my 9th to 10th year in life in school in the US and I'm a fairly well trained speaker in English, I feel I'm far behind you.
It also immeadiately shows that you had a very good medical training. We would need more people like that in Sweden. I'm greatful to have the possibility to join you in this forum.