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Side effects and PSA after photon radiation.
Prostate Cancer | Last Active: Oct 6 11:59am | Replies (30)Comment receiving replies
They didn't put me on ADT because I only had one biopsy sample, from two different biopsies, that was 3+4 Gleason, and that one sample was < 5% Gleason 4. Other than the higher PSA, I was borderline active surveillance. The options were more biopsies until they found a significant sample, or radiation w/o ADT. I went with radiation and no ADT.
Replies to "They didn't put me on ADT because I only had one biopsy sample, from two different..."
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Ed, your scenario is definitely one where NO ADT is recommended. Gleason not bad, volume of tumor pretty low…SO why the heck isn’t your PSA a lot lower? Weird…
Before going on ADT, which will definitely lower your PSA but NOT pinpoint the problem, another PSMA is probably a good idea.
Although all your factors seem very, very favorable - something must have gotten out of the gland…has to be. Did you have complete pelvic radiation or just to the gland only? This could be the issue, but that’s a lot of PSA being made outside the prostate bed, don’t you think? Stay on top of it…
Phil