I thought I would update on my progress and get the view of the wider experience on the online forum. I finished salvage radiotherapy 26/4/17. My PSA <0.1 on 2nd May 2017 and again 1st August 2017. Prior to this my PSA doubling tome was around 1.2 months and started rising approx. 1 year from surgery.
My neutrophill count was 0.85 on 2nd May and is now 1.1. I saw a different oncologist from the one I usually see today. He is happy that the PSA is undetectable(as am I) and is unperturbed by the low neutrophil count.
Since my PSA return was early and the PSADT rapid I asked his view on early chemotherapy given that my previous oncologist said that the quick return and rapid rise in PSA almost certainly meant I had metastasis but it wasn't big enough for scans to pick it up, particularly since the resolution of the PET scan is a minimum of 5mm. He told me that since the PET scan I had last December was negative for any spread (my PSA at the time was around 0.8) that he didn't think any further treatment was necessary or desirable. I will remain on HT (PROSTAP 3) until the end of April 2019.
I will be so happy if this salvage radiotherapy has cured me but worry that if I have microscopic metastasis that by the time this is picked up chemo won't be as efficient as it would be earlier. That said I don't want to unnecessarily intervene for the sake of it having read some of the problems fellow sufferers have had during and after chemo.
Shall I just accept this advice and hope that I am cured or should I seek a second opinion? I really don't know what to do for the best.
Your views and advice on the above would be very welcome.