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Side effects and PSA after photon radiation.

Prostate Cancer | Last Active: Jun 12 11:17am | Replies (43)

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Thanks Phil.
I'll need to confirm with my Dr. if he did the complete pelvic. I doubt it as the focus was on the prostate and to reduce any unnecessary radiation to good tissues. But I know he radiated the seminal vesicle because I asked. He stated that the SV had a high probability for cancerous cells so he was being prudent. My PSMA prior to radiation was clear but it is confusing why the PSA is high.

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Replies to "Thanks Phil. I'll need to confirm with my Dr. if he did the complete pelvic. I..."

Ed, seminal vesicle involvement generally indicates a more aggressive - or further spreading - than your numbers would indicate. And now with the PSA not dropping as much as it usually does, your Decipher score is a very key piece of data.
If it comes back high you’ll have the answer. Probably ADT to stop it from growing, but where to radiate - if you can - is the question. Best,
Phil