Robert, “he only treats what he thinks is there.” If you take that statement completely out of context and apply it to anything else -
Car repair, leaky roof, plumbing issue, etc., would you accept that? I certainly wouldn’t. I would want to know how he/she comes to that conclusion.
Who the heck REALLY KNOWS where these miserable cells are?? He doesn’t, and neither did my RO or anyone else’s - that’s for sure.
Treatment of the pelvic nodes in salvage radiation is not an opinion any longer, but an established norm.
If you are talking about primary treatment - no prior surgery - that’s still debatable. Many RO’s still favor IMRT vs SBRT in cases where either Gleason score or MRI/PSMA findings indicate possible spread from the gland.
But you’re at Mayo, one of the best, so I guess you have to take him at his word. We’re all kind of in the same boat - we can ask, we can pester and we can push, but in the end the Drs do what they want anyway. Best on your treatment!
Phil