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Anyone had proton therapy after prostatectomy?
Prostate Cancer | Last Active: Jan 31 2:31pm | Replies (22)Comment receiving replies
That may be the case, but in order to produce a PSA of 5.97, there would have to be probably a lot of small metastases, which I obviously would not want. The second possibility is that the recurrence in the prostate bed has returned, or rather, that the previous PT did not completely destroyed it. Incidentally, each of the three previous PET/CT PSMA scans showed several small lymph nodes in the pelvic area as possible micrometastases. However, their condition did not change over the years (size still max. 5 mm, SUV max. 3), while the PSA continued to rise. So it didn't make sense that these tiny nodes were the "culprits."
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This is why all SRT now targets the nodes. You can ‘see’ some nodes have cancer, but others probably have it too.
Cumulatively, they could add to the PSA bring what it is. Why not zap the nodes and see what happens?
Phil
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I know it’s a difficult situation. The thing is, the PSA is being Produced by metastasis somewhere. If they can’t be seen, then they’re too small, or too new. It is somewhat unlikely that they are in your prostate bed that that’s where the PSA is coming from.
Some of the doctors like to wait until the metastasis show up and then zap them even though the PSA is rising. They feel that that takes care of the problem And you’ve already had salvage radiation so there really aren’t A lot of other options. Yeah, those SUV Max 3 guys are not exactly the culprits, they’ve grown up!!!
Hopefully, your next PSMA PET scan will find something.