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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
Jeff, we know that Dr. Kwon is a urologist, and we do have a GU oncologist among my husband's other doctors. My husband sees a terrific GU oncologist in Indianapolis with whom he has worked for years. We chose to go to Indianapolis, which is only an hour away, when my husband began docetaxel chemo in 2016 since the appointments were every three weeks and Mayo is at least a ten-hour drive away. Since then, my husband has continued under the care of both Mayo and his Indianapolis GU oncologist. We had never heard of Dr. Heath until I read your earlier comment about her on MCC. We are seeing Dr. Kwon in September, and I will ask if my husband is willing to ask Dr. Kwon then about seeing her.
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Hi lag, since your husband had chemo he had metastatic cancer; did it spread after initial treatment or was he diagnosed with it from the outset?
In his case, not being able to treat what cannot be seen makes a lot of sense since his PCa cells could be literally everywhere and perhaps nothing is large enough to be picked up on scans…so what do you treat? I get that…
However, in salvage radiation - or adjuvant following surgery - it is now assumed that the cancer has a VERY high possibility of being in the pelvic nodes even though lesions cannot be seen on most scans. NOT treating them does cause more harm because the cancer is not being fully addressed and will recur, necessitating more ADT and possibly chemo as well.
That is the difference in the two scenarios. Sorry for any confusion - Hope I clarified my original statement. Best,
Phil