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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
@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.
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@jeffmarc The way my oncologist explained it to me is that if it comes back after radiation treatment it almost never comes back in the prostate so the second line treatment is the same regardless of whether the initial treatment was surgery or radiation--ADT and maybe chemo. Another factor was I'd already had two abdominal surgeries and didn't want to take chances with a third.