← Return to ADT for several months before Radical Prostatectomy

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ADT for several months before Radical Prostatectomy

Prostate Cancer | Last Active: 51 minutes ago | Replies (25)
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@heavyphil

Are you having radiation in addition ADT? Even with undetectable PSA you still need radiation to scramble the DNA of the remaining cancer cells and hopefully destroy them.
The nodal dissection indicates escape of cells and they are not always captured by the lymphatic system.
I’m sure you know this already - just saying it for the benefit of those uninitiated observers on the forum who may conclude that ADT alone “kills” PCa.
Best of luck,
Phil

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Replies to "Are you having radiation in addition ADT? Even with undetectable PSA you still need radiation to..."
krs03 | @krs03 | 4 hours ago

Yes, understood. My surgeons don't suggest radiation for some time, I'm 14 weeks post RP. There is also the 'salvage' philosophy saying that no intervention is needed until there is a significant rise in PSA (0.5 or even >0.2). My counter argument is: I've never had a PSA above 10 and have had significant PC. So should I trust just this measure?
The adjuvant path is more aggressive in my view and has ADT along with SBRT for instance. When I have the oncologist on-board I'll express my concerns. Still there is a suggested healing time after surgery prior to any radiation.
Thanks Phil

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