← Return to Help-what treatment plan has anyone selected for Perineural invasion?

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@chippydoo

Having an RP and follow up radiation 2 years later I have to wonder about the frequency percentage of left behind cells post-surgery and subsequent radiography to deal with it. Without investigation I suspect it is high. If I had to do it all over again, I would do a deep dive on rad vs RP. I hear of many that have to go back within two years for cells left behind. I know someone that is going with radiation for G9 for this reason and will be interested to see how it works out.

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Replies to "Having an RP and follow up radiation 2 years later I have to wonder about the..."

After RP, I had "persistent " PSA of .19 and EPE.
Salvage Radiation Treatment to the whole prostate region (WPRT) and pelvic lymph nodes resluted in 18 mos of undetectable < .02 (so far).
With PSMA PET scan that was " clear", escaped cells are thought to reside locally to the prostate bed.

I think that the incidence of near term BCR is rough 25 - 30% ?

I wanted a chance at total removal and would opt for RP again. Just my choice.