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Did anybody have adjuvant RT after RP ?
Prostate Cancer | Last Active: Sep 28, 2025 | Replies (7)Comment receiving replies
It was the Decipher test that really got me thinking about adjuvent radiation therapy, specifically:
"Decipher high-risk patients treated with radiation had superior outcomes when it was administered earlier and at lower PSA levels (< 0.2 ng/mL).2,3,16,17"
The graph from the Decipher report shows a direct correlation between starting RT early and 5-year risk of metastases. Nearly all my docs told me that I stood a very high chance of BCR, so, I was thinking "Hey, I am going to get this anyway, so why not get this out of the way when 1) I still have excellent commercial insurance, and 2) I am definitely below .2." No doctor agreed with that though, mainly because you don't know when BCR will occur, or even if it occurs, and the longer you can go without possible side effects from RT, the better. I understand that.
Steve
Replies to "It was the Decipher test that really got me thinking about adjuvent radiation therapy, specifically: "Decipher..."
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@smoore4
Thank you Smoore4 for additional information 🙏. Yes, Decipher is very important factor and my husband has the highest score of 1 , believe it or not.
Yes - it is very tough to swim "up stream" and argue one's case with doctors : (. Even when they agree one is constantly second guessing the decision and worrying that if something goes wrong they will say : " I advised otherwise" , although they advised us erroneously two times already and because of that we ended up in this position.
It is great that you got Erlanda too, there is not hope that we will get it. I think we will even have to fight to get Orgovyx instead of Lupron.
Thanks again for replying and I am wishing you easy and uneventful radiation treatment with 100% success in complete and forever eradication of PC ! 🍀🍀🍀