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@billfarm

On the subject of adt holiday. Just completed mri and petscan with undetectable psa. Scan results clear.The scan results accuracy is questionable due to negligible psa. Does anyone think an adt holiday and the likely rise in psa would reveal targets for precision proton therapy as an alternative to catpetbombing my pelvic region healthy tissue and all with photon therapy?

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Replies to "On the subject of adt holiday. Just completed mri and petscan with undetectable psa. Scan results..."

Great news on the current condition!

To your question, I reviewed this exact question with my health team in early April and here is what I can share. My biochemical recurrence was in 20+ lymph nodes so radiation wasn't an option so I went the ADT route. When I get off of ADT we will monitor the PSA. Option 1: If the PSA rises to like 0.2, 0.4, 0.7 and so forth, it is likely we will do a PSMA PET scan and if there are a few spots that are lighting up on the scan, we may opt to use radiation. Option 2: If the PSA comes back at 5 and continues higher, we will likely just go back to ADT, but might do a PSMA PET scan to see the situation, but the team is fairly confident that a 3-month rise into single or double digits will equate to needing to starve the cancer. Time will tell, but will share. Keep the faith.