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Undecided Gleason Score 4+3=7 and PSA almost forty.
Prostate Cancer | Last Active: 9 minutes ago | Replies (23)Comment receiving replies
I was G7 4+3 and chose SBRT and six months of ADT. 18 months later my PSA is undetectable even though my prostate it still there and I've been off Orgovyx for more than a year. My thinking was that modern radiation is very precise.
I was hesitant because of the "surgery after radiation" question and was told that, almost always, a recurrence after surgery OR radiation is treated the same way. That cemented my decision. For me it was -- why have side effects from both surgery and radiation? Radiation was easy--a couple months of tiredness and some burning urination. ADT was another story altogether but I'm improving slowwwwly but surely and have been switched to six month monitoring instead of three.
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@scottbeammeup I was under impression radiation caused prostate cancer cell to die but sone functioning prostate cells remained. I was concerned cancer could develop in any residual prostate cells.
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@scottbeammeup
I am puzzled by your response.
If you had SBRT radiation it has essentially destroyed your prostate. It’s no longer there it’s been melted into residual tissue. Yes, you could have an operation to remove that tissue but not many doctors do that.
If there’s a reoccurrence after surgery or radiation, the treatment is very different. If you have surgery, then you can have salvage radiation if it comes back. If you have radiation, you can’t have salvage radiation because you’ve already had a lifetime of radiation in that area. Yes, you can zap metastasis that pop up but for initial radiation treatments the usual treatment is drugs or in advanced cases,chemo or Pluvicto If there are a number of mets.