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Prostate Cancer | Last Active: 1 hour ago | Replies (14)
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The standard of care is to have salvage radiation when the PSA hits .2 after a prostatectomy. I had that and I know many people that had the same.
Depending on your Gleason score you may also need ADT.
If you can get a PSMA pet test it can see if there is a noticeable metastasis that can be zapped, to see if salvage radiation is necessary.
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Jeff, I know SBRT vs salvage IMRT was discussed on one of your recent webinars; I believe Dr Scholtz recommended SBRT?
My concern is this: If you have a visible metastasis on a scan doesn’t that mean that you MUST have micrometastases elsewhere? If you just zap the visible issue how does that treat the rest of the problem? ADT for life?
But perhaps my statement is wrong and a metastasis to a rib doesn’t mean you have them elsewhere? Dr. Scholtz’s approach seems totally counter-intuitive to me. Thoughts?
Phil