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

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@heavyphil

Chip, I really feel that age and possibility of recurrence should also be factored in.
If your age is advanced - I would say 75 and above - I personally would opt for radiation because the possible recurrence might take place after something else has already killed me🫣.
But if you are younger and opt for radiation as initial treatment, your choices are limited if it does recur; a lifetime of ADT or playing whack a mole with SBRT. It’s really an odds game, and frankly, a well informed gamble.

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Replies to "Chip, I really feel that age and possibility of recurrence should also be factored in. If..."

Interesting thoughts. I think he is early 70's and in good health. I had removal in my late 60's followed and finished Salvage 3 weeks ago with G9 and no known spread. Initially on 6 months of ADT but suspect Doc will spring at least another 6 months on me. I was initially resistant as it would change some major things in my life. Short sighted on my part and more accepting at this point. I have been looking into the NCCN protocols. Thank you for your most welcome insights.