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Is anyone else oligometastatic with low PSA, post surgery?

Prostate Cancer | Last Active: 6 hours ago | Replies (14)
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@crperle

Thanks. That sounds like a lot to endure. I'm just starting out with recurrence after surgery, trying to figure out if the bone lesions are real and what to do about them.

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heavyphil | @heavyphil | 1 day ago

If you want to see if they are real PCa metastases, do SBRT first without ADT. If your PSA falls then you know positively that they were PCa.
You could then institute ADT, depending on what your oncologist thinks…probably ‘yes’. If they do not respond at all and PSA stays the same or rises, then you have the more generalized bed/node scenario and SRT could then be initiated with ADT.
Phil

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