@ucla2025
That was an hereditary genetic test, followed by a somatic genetic test. If either one shows a genetic anomaly, then maybe something different can be done in treatment. Good to hear you had both done. I didn’t have my hereditary test done until 11 years after I got prostate cancer. My treatment may have been different if they knew I had BRCA2.

The somatic test which is done on tissue or blood can be repeated if others tumors appear. Changes can occur in genetic issues with tissues. The hereditary test never changes.

I’ve heard many times that they cannot do SBRT radiation on certain metastasis that are in areas that could damage other tissue that is important. You might look into having proton radiation done on those spots, It is much more targeted. It might be able to zap them.

Dr. Carl Rossi at UCSD has been doing Proton radiation treatments since 1994 when they built a building for the machine in San Diego. The first patient was the person that invented it, He lived to over 100. Rossi has done Proton radiation on over 13,000 prostate cancer patients. You probably can find somebody closer, and San Diego is a long drive, But I figured I’d tell you about it.