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Scheduled for a Radical Prostatectomy and having Second Thoughts

Prostate Cancer | Last Active: 17 hours ago | Replies (44)
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@heavyphil

Hey Wandyfisher, your 5 visits sounds like a Cyberknife type treatment. Perhaps I am mistaken, but I don’t think that particular treatment targets pelvic lymph nodes - only the prostate and perhaps 2-5 mm periphery. I would check on that if pelvic nodes are a concern.

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Replies to "Hey Wandyfisher, your 5 visits sounds like a Cyberknife type treatment. Perhaps I am mistaken, but..."
wandyfisher | @wandyfisher | 1 day ago

Thanks. That’s one of the questions I have for my RO as I know there is a possibility of microscopic lymph involvement even though none was seen in PSMA PET. The MSKCC nomogram for me shows 14% chance for lymph node involvement. I thought I read somewhere that SBRT lymph node radiation was possible. Maybe it’s just not part of the standard protocol. I’m really trying to avoid a 20-40 session IMRT. Lots of considerations and consultations still ahead of me before I finalize my choice. How much did nomogram predictions factor into your decision making process?

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