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Prostate Cancer

Radiation after Radical Prostatectomy

07/16/2009

Question:

My husband had a radical prostatecomy Feb 26. He`s had 3 PSA tests each month since. The first two were .03 and last one was .02. If the PSA levels are decreasing, why the necessity of having further radiation treatments as his oncologist suggests? Should we get a second opinion?

Answer:

Your husbands doctors were probably recommending radiation if there was concern that there was prostate cancer that had moved outside the prostate. This can be determined by looking at the prostate under the microscope by the pathologist or watching his PSA after the surgery. A second opinion is always reasonable.

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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