I'm very confident in my set of doctors at an elite center of excellence.

Note that I had an MRI of the area lit up by the most recent quarterly PET scan. I am nervously awaiting a follow-up meeting with the radiation oncologist recommended by my urologist.

What I'm curious about, while trying to gather background intel before the meeting, is whether the holes in the prostate wall (if there really is a "wall"), infer that cancer cells may be escaping to form more metastases. If so maybe I should do some sort of additional systemic treatment, such as more chemo, or maybe Pluvicto.

I'm also curious whether the recurrent cancer is the original version or so-called castration resistant. If it's the latter, then I'm hesitant to go back on Lupron. In my opinion the side effects from 13 months of Lupron were worse than the side effects of six sessions of Chemo and 26 sessions of radiation. How is the variant form identified without another biopsy? My PSA has stayed < 0.1 for several months of quarterly blood tests and scans.