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← Return to Salvage radiation aftermath
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Prostate Cancer | Last Active: 6 hours ago | Replies (28)
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Wow, I'm sorry to hear about all you've been through!
But I'm also a little confused. The ADT makes perfect sense, but how do they do radiation therapy if they have no idea where the cancer is active, and where to focus it?
Replies to "Wow, I'm sorry to hear about all you've been through! But I'm also a little confused...."
@sandguy
Salvage radiation is done to the prostate bed. They are unable to find anything in the vast majority of cases, If they did find something they would use SBRT to zap it. The most likely spot for cancer growth is the prostate bed and the lymph nodes in that area.
When I had my PSA dropped to undetectable for 2 1/2 years so it was the right spot.
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Hello @sandguy -
As it was explained to me, the absence of any fluorescence shown by the PET-CT scan meant that the reason I showed chemical recurrence was that only a tiny bit of leftover cancer, not enough to show up, in the bed of the prostate was to blame. I agree, this was puzzling that they’d perform radiation on my pelvic region without proof that anything was there, but evidently my radiation oncologist was right to target the bed of the prostate and remaining lymph nodes because now I’m still knocked back to an undetectable PSA and my testosterone has regained some normalcy.