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CANDLELIGHTING

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THE JEWISH VIEW

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HOLIDAYS

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JUDAISM 101

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{weblog_name} - PSA Recurrence after Radiation Therapy
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PSA recurrence is demoralizing whether or not it is after surgical therapy or radiation therapy. Finding out that the primary treatment you chose to attack your prostate cancer did not work is a difficult pill to swallow. In any case the evaluations are similar. The treatment options differ to some degree but not greatly.  Again, the first discussion with the patient is about the point in time that he wants a further evaluation. The older the patient, the less likely he is to succumb to prostate cancer. Therefore, most urologists tend to be less aggressive in their evaluation and treatment options for the patient over 70 as opposed to the patient under 60. As with surgical failure, typically I’d have the patient pick an arbitrary number at which he is no longer comfortable with watchful waiting and if his… read more