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What do you do when one lymph node on PSMA is inconclusive ?

Prostate Cancer | Last Active: Sep 28 3:33pm | Replies (45)
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Profile picture for johnw22 @johnw22

@rbtsch1951 Thank you for sharing. I feel the same way and it is difficult not to be negative. Were you given the option of Orgovyx vs Lupron? I have gold markers but no rectal spacer.
Why SBRT?

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Replies to "@rbtsch1951 Thank you for sharing. I feel the same way and it is difficult not to..."
surftohealth88 | @surftohealth88 | Sep 25 2:35pm

@johnw22

Sorry to interrupt - how were gold markers placed in ? I am asking since my husband might have them inserted in near future.

Thanks in advance : )

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rbtsch1951 | @rbtsch1951 | Sep 25 3:26pm

@johnw22

I am being treated at UCLA. My understanding is that IMRT is delivered at a lower radiation dose at each session, requiring a longer interval to complete. The SBRT offers the advantage of a high-dose accelerated regimen (5 treatments over a 2 week interval) with equivalent outcomes and similar side effects.

The hydrogel spacer marketed as Barrigel or SpaceOAR is inserted transperineally (during the same procedure where gold fiduciaries are placed, if needed). The spacer creates a barrier between the prostate and the rectum to reduce the incidence of permanent radiation colitis following RT. Perhaps in your circumstance, the radiation oncologist did not feel it offered a particular advantage with your IMRT regimen.

Too, the need to irradiate your para-aortic nodes, I suspect, may have impacted the choice of IMRT over SBRT.

I am sure the medical center at Ohio State is top notch and you are receiving state of the art care.

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