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Should I add ADT to Salvage Radiation at age 76?
Prostate Cancer | Last Active: Mar 26 6:43pm | Replies (30)Comment receiving replies
@wwsmith
It’s the PSA level after treatment. When you have a prostatectomy your PSA is supposed to be undetectable Six or eight weeks after surgery. That’s different from radiation where they have set the bar at two points above your minimum PSA, Before additional treatment. Of course, if you have radiation, you may Need to have ADT as well, depending on your extent of aggressiveness.
After a prostatectomy, if the PSA rises, then they know that salvage radiation may eliminate the cancer again. Of course, if you get a PSMA pet test and it shows you have a metastasis somewhere then you want that zapped as well.
If someone starts off with a very aggressive cancer that spread, then they are probably not gonna be getting a prostatectomy. More likely chemo and not even trading the prostate.
There are so many variations.
Replies to "@wwsmith It’s the PSA level after treatment. When you have a prostatectomy your PSA is supposed..."
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@jeffmarc We frequently hear of guys that have a biopsy with 3+4 and then an RP later shows them to have 4+5. So then a year later the 4+5 guy starts to show rising PSA values. He could wait until the traditional 0.2 level to start salvage radiation or he could act early and start radiation treatment maybe at 0.1 PSA. But whatever PSA level he and his doctors decide to start salvage radiation, they know that he had an aggressive 4+5 case, so wouldn't most RO's recommend ADT for that salvage radiation case no matter what PSA level they began the salvage treatment?