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Did you start radiation immediately or wait until PSA was 0.2 ng/ml
Prostate Cancer | Last Active: Sep 4 11:26am | Replies (49)Comment receiving replies
Melvin, sounds like a plan. Are you scheduled for radiation to the pelvic nodes?
Even if PSMA or MRI does not show presence or detection of lesions, the newest thinking is to treat the nodes as well.
There is a greater than 30% failure rate in SRT and it has been attributed to failure to treat the nodes.
I am sure your RO knows this but doublecheck to be sure…Best,
Phil
Replies to "Melvin, sounds like a plan. Are you scheduled for radiation to the pelvic nodes? Even if..."
I’m in the planning stage (dosimeter, mapping) for my proton therapy. This is at Mayo, highly respected. Twice I’ve asked whether he will treat the lymph nodes. He says no, he only treats what he thinks is there. That is in keeping with my philosophy, so I’m okay, as long as nothing in the recent imaging changes that. That raises the risk, maybe, but my gut tells me over-treating might affect me worse. They’re doing a genomic trial and that might change things.
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Yes, absolutely will be hitting the pelvic lymph nodes, prophylactically. Good mention that you brought this up. I’ve come across the same info that you have mentioned.
M