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Preparing myself for upcoming fork in the road

Prostate Cancer | Last Active: Nov 25, 2025 | Replies (28)

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I had a prostate removal in jan 2025. Clear margins and nodes. Five months in, and a psa score of .19 doc said we'll
wait another 4 months and check again turned up .85 Had a pet scan with radioactive tracer and it showed
cancer in 1 lymph node on the pelvic bone. I have an appointment in 3 days with radiation doc. I'm going nuts
wondering what's going to happen. Do you guys think this is a death sentence or do I have a chance.

started out PSA was8.4
gleason score 4 +3
dechpier score.59

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Replies to "I had a prostate removal in jan 2025. Clear margins and nodes. Five months in, and..."

@wilke333
The treatments for PC have improved drastically over time. In today's world the ability to treat your cancer has improved along with success rates.
Stay positive!

Were you put on ADT prior to your surgery? Are you on it now? If not need to discuss that with your medical doctors.

PC cancer can spread outside prostate. So now you are now going to treat PC cancer that is out of your prostate.

If you are happy with your medical doctors discuss your concerns with them. If not seek a second opinion.

Your PC showing up out of your prostate is not rare. It happens and many on MCC had it happen and have successful treatments. I mentioned so many more treatments can be done to treat this. And treatments are changing every day with new and very effective results.

When you were diagnosed with PC did they do a PSMA at that time?

Please stay positive and work with your medical experts.

@wilke333 You have an EXCELLENT chance…death is not even in the equation so forget it, OK?
You’ll probably be put on ADT and get salvage to the bed and nodes plus SBRT to the pelvic area on PET.
Also, you SHOULD get more than one opinion from different RO’s at different facilities if that’s possible.
Once you are put on ADT your PSA should drop drastically, stopping the growth and spread of your cancer.
You’ll probably be on it for at least a year ( before, during and after radiation) so get ready to deal with those SE’s…Best,
Phil