← Return to Adjuvant Radiation Therapry (ART) vs Early Salvage radiology

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Profile picture for jeff Marchi @jeffmarc

Hard to believe how much a difference having adjuvant radiation with a >=.4 decipher score differs from waiting for a PSA rise to have Salvage radiation.

The increased rate of metastasis of about 25% after waiting for salvage radiation is pretty hard to swallow. Are doctors really aware of this major difference.

This result demands getting a decipher score to be able to have a chance at Progression free survival.

I’m adding that specific graph in case other people have not gone to your link.

It’s sort of scary to see such a difference in results.

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Replies to "Hard to believe how much a difference having adjuvant radiation with a >=.4 decipher score differs..."

Yes, the difference is pretty stark. I was also very surprised that the addition of ADT made no difference in these adjuvant cases.
Not sure if the same applies to salvage radiation, although the newest retrospective study says no ADT is indicated for patients with
PSA< 0.7
Mine was certainly less than that (0.18) but I never had a Decipher Test so I wasn’t taking any chances.