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What side effects did you experience after salvage radiation?
Prostate Cancer | Last Active: 18 hours ago | Replies (33)Comment receiving replies
@kujhawk1978 very good points, and concerns that I share. I've asked my medical team if we should include the pelvic lymph nodes as part of my treatment but haven't been able to get a clear answer other than that doing so would increase the potential side effects.
Replies to "@kujhawk1978 very good points, and concerns that I share. I've asked my medical team if we..."
@abinoone DO THE NODES: 30% failure rate with SRT if nodes are not included.
You treatment gets much more complicated if you can’t control this thing in Round 2.
SE’s from advanced forms of ADT are no picnic!
Phil
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@abinoone
They are not wrong, that's the downside....
The upside is the outcome could be a longer progression free survival period, aka, vacation.
I say that because when I did SRT, my medical team stated SRT to the prostate bed. When I raised the issue of data from clinical trials showing that in high risk individuals, more often than not the BCR was already in the lymph nodes and the best treatment in terms of management was radiation to the prostate bed, entire pelvic lymph node system and short term systemic therapy, six months ADT.
They're reasoning, no long term data supporting it...
I acquiesced....
I will never forget my radiologist hesitating before turning to me 90 days after the 1st PSA test and saying my PSA had more than doubled from .3 to .7, the SRT had failed.
I