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@gkgdawg

This addresses a question I have also: if the spread is beyond the oligometastatic number of 5 in the pelvic lymph nodes (only or can other lymph nodes count?) you've lost the option for a possible long remission (cure) with radiation, along with ADT?
If this isn't the case, and there are too many lesions, then the only option is 18 mo's of ADT and ARPI to indefinite use of ADT/ARPI?

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Replies to "@gkgdawg This addresses a question I have also: if the spread is beyond the oligometastatic number..."

@barblouise

Hi, Barb:
Are these questions or statements? I think my husband had about 6 lymph node lesions. I asked the doctor, this past week, when we had a visit, but she was having difficulty finding the scan to count them. At maximum, I think it would be 7. The Medical Oncologist said she understands my concern with long term hormone therapy, and the effects it has on the body and quality of life. She suggested that we continue for another 6 months and see if there are anymore studies in regard to this question.

Has anyone taken the option of penile injections to prevent atrophy?

Glenda