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@heavyphil

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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Replies to "If you want to see if they are real PCa metastases, do SBRT first without ADT...."

Thanks. That id exactly what we just discussed today. I have one more opinion at UCSF, but it seems we are, finally, converging on a plan!