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PET/PSMA / Decipher test results back (0.69). Radiation/hormone now.

Prostate Cancer | Last Active: Sep 13 11:01am | Replies (23)
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@jeffmarc

I am puzzled by this response. The use of a spacer is to protect the rectum. He’s a quick explanation of why it’s used.

You'll get a rectal spacer called SpaceOAR™ hydrogel. It is a gel that's placed between your prostate and rectum to move your rectum away from your prostate. This protects your rectum from radiation and reduces some side effects of radiation therapy.

Where did you get the information that a spacer is not good to use when the cancer is in the prostate near the rectum?

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Replies to "I am puzzled by this response. The use of a spacer is to protect the rectum...."
toolbelt | @toolbelt | Aug 25 7:30am

Thanks. I am well aware of the use and purpose of a rectal spacer as it relates to EBRT. There is concern if the cancer approximates the rectal wall, and contraindication if the cancer in fact has extraprostatic extension.

NCCN Guidelines Version 1.2024, PRINCIPLES OF RADIATION THERAPY
"........Patients with grossly apparent posterior extraprostatic
extension should not undergo perirectal spacer implantation. Marginal or
suspected early extension is not a clear contraindication......"

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