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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Prostate Cancer. Done Prostatectomy. Undergoing Hormone Therapy. Increasing PSA Level. What To Do?

Sir, Myself Pradeep Kumar Sinha . I am suffering from Prostate Cancer . My prostatectomy was done during Sept.2009 . 30 nos of Radiation completed during Dec. 2009 . Now Hormone Therapy is going on. 5 nos (Eligard-45) has been taken in 6 months interval. Last taken on Feb. 4th. 2013. My PSA level on 31st. Jan.2013 was 3.91 ng/ml. On 6th March 2013 was 6.67 ng/ml. which is gradually increasing. Kindly suggest what to do .
Mon, 25 Mar 2013
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Oncologist 's  Response
Dear Mr Pradeep,
Thanks for writing in.

There is a possibility that your cancer is now not sensitive to hormone therapy any more. I would suggest imaging studies to rule out any evidence of recurrence of the tumor (like MRI pelvis, CT thorax and bone scans). Further treatment in the case of visible disease on scans or persistently rising PSA, may include other hormonal agents or chemotherapy if need be.

Best Wishes,
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Have Prostate Cancer. Done Prostatectomy. Undergoing Hormone Therapy. Increasing PSA Level. What To Do?

Dear Mr Pradeep, Thanks for writing in. There is a possibility that your cancer is now not sensitive to hormone therapy any more. I would suggest imaging studies to rule out any evidence of recurrence of the tumor (like MRI pelvis, CT thorax and bone scans). Further treatment in the case of visible disease on scans or persistently rising PSA, may include other hormonal agents or chemotherapy if need be. Best Wishes,