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Salvage radiation therapy after radical prostatectomy

Prostate Cancer | Last Active: Nov 13, 2024 | Replies (90)
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@michaelcharles

Age 72 RP Aug 2022
Nov 2022 1st PSA 90 day postop .19
Called Persistent PSA and considered BCR.
Began Salvage Treatment February 2023 - 37 radiation treatments together with short-term ADT.
4 subsequent uPSA tests all undetectable < .02
Radiation side effects went away 2 - 4 weeks after radiation treatment ended. No additional side effects from radiation.
Now 74.
My understanding is that the sweet spot for Salvage treatment is PSA .2 - .4/.5
See SPPORT trial.
Seems that ADT may or may not be prescribed; some evolving philosophies and protocols.
Best to you with your choices.

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Replies to "Age 72 RP Aug 2022 Nov 2022 1st PSA 90 day postop .19 Called Persistent PSA..."
jackiepie | @jackiepie | Oct 28, 2024

Thank you for sharing your experiences with me. I probably will have radiation at some time, but I am still just watching PSA carefully. If PSA shoots up to around 0.2, I will probably do salvage radiation. It is good to hear that you seem to have no lasting side-effect from the radiation and that is got your PSA in check. I do have two questions however. 1) What is the SPPORT trial? Where can I find that? and 2) what kind of radiation machine was used? Perhaps a Varian True beam or a Varian Halcyon?

Thanks again for your reply. It was helpful in my overall decision-making process.

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