← Return to Recurrent prostate cancer after 7 years

Discussion
whatthef avatar

Recurrent prostate cancer after 7 years

Prostate Cancer | Last Active: Sep 17 6:37am | Replies (14)

Comment receiving replies
Profile picture for melvinw @melvinw

I also have recurrent PCa (tens years after prostatectomy) and will be starting salvage radiotherapy (EBRT) soon. No ADT even though two oncologists recommended a 6-month regime. My current radiation oncologist did not advocate for ADT.

I read a lot of medical literature trying to sort the ADT question. The main thing that I determined was that if you are in the intermediate risk category (I am) that adding ADT to RT has debatable benefits compared to the potential risks. Some doctors will not recommend it if your PSA is less than 0.5 because of this. There is risk of under-treatment, and risk of over-treatment, all depending. Can be a tough call.

So, if you are intermediate risk, I would say to listen to what the docs have to say, but make your own informed decision about ADT. I’m glad that I got second (and third) opinions. You really need to be the captain of your care team and evaluate your specific circumstances. Even then, it’s your best guess as to the risks versus benefits of ADT. Someone with my specific parameters might decide in favor of ADT. Very personal decision.

Btw, my post-surgical Gleason Score as 3+4. My current PSA is 0.1 (standard test), and 0.094 (ultra-sensitive test) and has not changed in 3 months. PET PSMA and MRI scans, as well as DRE, has confirmed a local recurrence (small nodule in the anastomosis) with no evidence of metastatic disease.

There’s my experience/situation. Hope this helps, and best wishes.

Jump to this post


Replies to "I also have recurrent PCa (tens years after prostatectomy) and will be starting salvage radiotherapy (EBRT)..."

Like you I’m not a fan of adt… I still have my prostate, and my my original Gleason score was 3+4. Like yours. after the most recent PSMA Pet scan. It appears there are two lymph nodes in the abdomen area. They are lighting up.my oncologist recommended ADT right off the bat I declined. I told him I would like to look at other alternatives so I’m looking at proton therapy. It’s very precise. The side effects are very minimal. Hopefully I’m a candidate for this particular procedure and maybe it’ll get rid of it a cure verses palliative situation. Thanks for your input…..