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What do you do when one lymph node on PSMA is inconclusive ?

Prostate Cancer | Last Active: 2 days ago | Replies (24)
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@johnw22

PSMA October 2024 low level of tracer para-aortic LN SUV 5; subsequent PSMA March 2025 after 2. 5 months on Orgovyx Previous tracer avid nodes not seen in this study. Plan is to radiate para-aortic node(s). Without PSMA we would not be aware of positive nodes. Question I need to ask is if Orgovyx resolved nodes completely why radiate. I will continue on hormone for another 20 months.

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heavyphil | @heavyphil | 3 days ago

Hey Johnw, Orgovyx suppresses T, which feeds your cancer. It does NOT kill it.
It weakens it and starves it so that it is less able to “heal” itself once its DNA is ionized and scrambled.
You need the one-two punch to attempt to eradicate it.
Phil

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