Salvage radiation therapy with ADT

I had surgery on 3/20. Then recurrence after 3 years,but with low PSA numbers. ( .06-< .05 is considered undetectable at MSKCC) .The threshold for follow up treatment is .2, which I hit in Feb. Now undergoing ADT for 6 months along with 25 radiation treatments. I'm hopeful this will be the end of it, but of course we are dealing with cancer so anything is possible.

Where are you having the radiation directed at since you had your prostate removed?

in my prostate bed.

I had surgery on 3/20. Then recurrence after 3 years,but with low PSA numbers. ( .06-< .05 is considered undetectable at MSKCC) .The threshold for follow up treatment is .2, which I hit in Feb. Now undergoing ADT for 6 months along with 25 radiation treatments. I'm hopeful this will be the end of it, but of course we are dealing with cancer so anything is possible.

Sounds familiar - just finished the same at Sloan in Commack. I’m done…for now.
Phil

Where are you having the radiation directed at since you had your prostate removed?

Rising or persistent PSA following RP:
W/o evidence of definitive lesions or locations by PSMA Pet scan, the prostate bed and pelvic lymph nodes are the suspected location for residual PCa.
Radiation Treatment, either IMRT or proton, to the entire prostate region together with (and more recently possibly w/o) a short or long course of ADT is the researched treatment (see SPPORT trial).
In 2023, I and 2 friends each had Salvage Radiation w/ 4 - 6 mos ADT for BCR or persistent PSA following RP from 3 different ROs at Johns Hopkins Baltimore and Sibley Memorial Wash DC Hospitals.
All 3 of us have had undetectable PSA since treatment.
And, of course, we are grateful for the current results and hopeful that they continue.
Note: Layman summary.
Best wishes.

in my prostate bed.

Better get those pelvic nodes too…do some research please!
Phil