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Salvage radiation therapy after radical prostatectomy

Prostate Cancer | Last Active: Nov 13 8:13am | Replies (90)
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@jackiepie

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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Replies to "Thank you for sharing your experiences with me. I probably will have radiation at some time,..."
michaelcharles | @michaelcharles | Oct 29 1:56am

When I search "SPPORT trial", a number of articles appear, including one from NIH.
My layman summary is that radiation to both the pelvic bed (where the prostate sat before removal) and to the pelvic lymph nodes together with a course of ADT was the most effective treatment for my BCR. Now those are my words and I am not a Dr.
My Radiation Oncologist at Johns Hopkins recommended and treated me with 37 Radiation treatments (66.6 Gy) to the whole pelvic region and 25 of those treatments included the pelvic lymph nodes.
The radiation was IMRT at JH.
I also was prescribed a 4 mos course of ADT and I chose Orgovyx, an oral tablet.
Best wishes for successful treatment.

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michaelcharles | @michaelcharles | Oct 29 9:41am

Also there is a webinar on the Prostate Cancer Foundation website (pcf.org) from Jan 2023 that discusses rising PSA after primary treatment of RP or Radiation that might be helpful.

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