Replies to @heavyphil Phil, thank you. Radiation was primary. The second PSMA was scheduled at the time of…

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Prostate Cancer | Last Active: 2 days ago | Replies (15)

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@gently

@heavyphil
Phil, thank you. Radiation was primary. The second PSMA was scheduled at the time of treatment. There was an equivocal node that orgovyx hadn't affected which made the determination that it was not metastatic. PSA reached the lowest .27 six months post radiation, now .28.
I wondered how unusual it was to have an after PSMA. The doctor said that she usually orders one at the one year mark.
I'm wondering how to handle the sub centimeter right iliac node close to the nerve bundle.
Do you know about microscopy? Would PSE be useful?
I appreciate your attention.

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Replies to "@heavyphil Phil, thank you. Radiation was primary. The second PSMA was scheduled at the time of..."

heavyphil | @heavyphil | 3 days ago

@gently Well, PSA’s after primary radiation seem to jump around a bit anyway; your results are so close as to be the dame, in my book.
If that node did not respond at all to Orgovyx there’s a good chance it’s not cancer; but did you have pelvic node radiation as well or just to the prostate bed? That could be the issue since if there was cancer there originally and it wasn’t treated, a year later it would have re grown in size post- Orgovyx.
And yes, I think the PSE test is a great idea if you are unsure. Discuss this with your RO and get some feedback.
Phil

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