Replies to I agree with @jeffmarc about getting a different scan – PSMA will probably still be negative….

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Prostate Cancer | Last Active: 10 hours ago | Replies (52)

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@heavyphil

I agree with @jeffmarc about getting a different scan - PSMA will probably still be negative.
Since you already had SBRT to the ribs and the PSA has not come down, then cancer cells are most probably in the prostate bed or pelvic lymph nodes - or both.
Be SURE to have those nodes irradiated; it should be standard practice since SRT fails 35% of the time if they are not. Yet, many RO’s still insist the cancer is confined to the prostate bed even though there is NO way to know this! Best,
Phil

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Replies to "I agree with @jeffmarc about getting a different scan - PSMA will probably still be negative...."

jkoop | @jkoop | 1 day ago

I’ve asked about using a different agent for the scan, but they said PSMA is the best available. I’ll ask again. Do you wait until PSA gets higher until you get another scan or let them blast away in the hopes they kill cancer cells? Thanks for your input, I really appreciate it.

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