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Rising PSA at 5 months post-RALP

Prostate Cancer | Last Active: 34 minutes ago | Replies (27)
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Profile picture for clevelandguy @clevelandguy

Hi, The PET scan is much more sensitive than the MRI in picking up small micro metastatic locations. I would think the PET scan is definitely needed and if they find cancer they can zap it with radiation. ADT is usually given before radiation to weaken the cancer so the radiation does a better job. There are some newer ADT drugs out like Orgovxy that come in pill form and have less side effects like the older Lupron. You might also take a few rounds of ADT after radiation to further eradicate the cancer.

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Replies to "Hi, The PET scan is much more sensitive than the MRI in picking up small micro..."
animate | @animate | 1 day ago

@clevelandguy
Thank you for your response. I am getting the sense that getting the PET scan will be the safest option.

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Jeff Marchi | @jeffmarc | 22 hours ago

@clevelandguy
Actually, the PSMA PET scan has a hard time seeing metastasis that are smaller than 2 1/2 mm. Micro metastasis are a problem for sure.

I was at the UCSF conference today and asked them about it and they said yes 2 mm is hard and even bigger can be hard depending on the case. The radiation oncologist gave a few different presentations and showed a number of slides with people that had metastasis that couldn’t really be noticed without the PET scan.

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