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Profile picture for brianjarvis @brianjarvis

@jeffmarc Yes, those “metasti-seeds” (as Kwon sometimes refers to them) can be anywhere in the body.

But, Kwon cautions in that presentation that “…only 1/3 of men who have recurrence following prostatectomy have recurrence only in the prostate bed, and that they should not get salvage radiation there unless they’re absolutely certain of the location of recurrence.” He says to “first confirm where the recurrence is.”

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Replies to "@jeffmarc Yes, those “metasti-seeds” (as Kwon sometimes refers to them) can be anywhere in the body...."

@brianjarvis Totally, that’s why it is recommended to radiate the pelvic nodes as well ((SPORTT trial); that’s another place that has cancer cells 30% of the time.
The remaining 30% could be anywhere but in cases where PSA < .2 it’s usually (and hopefully) somewhere between the umbilicus and the groin area.
SRT usually blankets this area, though some may consider it overkill…Best,
Phil