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Recurrence in pelvic lymph node

Posted by treesqueak @treesqueak, May 25 5:18pm

I'm meeting with my radiologist this week, and would appreciate your suggestions about questions I should ask. After a prostatectomy five years ago (Gleason 8), this is my second recurrence. First recurrence was biochemical two years ago followed by a six month Lupron Depot shot and 36 rounds of radiation to the prostate bed. Now almost 5 years from diagnosis with PSA rising to 1.2, a PSMA showed a lesion in a pelvic lymph node. We are going to discuss spot radiation plus another 3-6 months of Lupron. What questions should I ask?

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heavyphil | @heavyphil | Nov 29 8:09am
In reply to @kujhawk1978 "@heavyphil Phil High risk PCa generally necessitates aggressive treatment decisions. In military parlance we call it..." + (show)
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@heavyphil

Phil

High risk PCa generally necessitates aggressive treatment decisions.

In military parlance we call it "fire for effect...!"

Kevin

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@kujhawk1978 oh yeah, Kevin, I am all in on that!!
Phil

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yfarah57 | @yfarah57 | Nov 29 9:26am
In reply to @jeffmarc "I went 3 1/2 years after my prostatectomy before my PSA started rising. I had Salvage..." + (show)
Profile picture for jeff Marchi @jeffmarc

I went 3 1/2 years after my prostatectomy before my PSA started rising. I had Salvage radiation like you and my PSA started rising 2 1/2 years later. At that point, I was put on Lupron, And since I had 2 reoccurrence, there was no end date. After 2 1/2 years My PSA started rising again, and I went on abiraterone which kept me under control for 2 1/2 more years. Switched to Darolutamide And for 18 months, I’ve been undetectable after 15 years of PC. What i’m getting at is that you are in a situation where the correct drugs can keep you going for decades.

Yes, a UTI can raise your PSA. Get tested again find out what’s going on, Do not wait three months for a test get one done within a month or two at the most. Because you are on Lupron your PSA should drop to undetectable again. Actually, you should probably be on monthly PSA tests, I was put on monthly tests after my second reoccurrence.as have most of the people I know.

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@jeffmarc
Thanks for sharing. Means a lot to me to hear from a real person that there are many treatment options that will keep me going 👍

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bryanta | @bryanta | Nov 29 10:32am

Might try to find if it is and aggressive type cancer. What if you do nothing.
A book that was helpful to me You can beat prostate cancer.. (Marckini)

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