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Prostate cancer metastacized to the Iliac lymph node
Prostate Cancer | Last Active: 1 day ago | Replies (33)Comment receiving replies
The recommendation from my radiologist, who seems quite competent, is to do one of the following:
Radiate the lymph node for five days and take an ADL for six months.
OR
Radiate lymph node and pelvic are for 33 days and take an ADL for six months
He showed me lots of data indicating the second choice has better five year outcomes, but he emphasized no case is the same and it completely my choice as to treatment.
Seeing my oncologist, also very competent, tomorrow, but have to make a decision.
Support and advice and information appreciated! Thanks, Jim
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@monahanirvingjames My feeling on this has always been that where there’s smoke, there’s fire.
If you have a visible lesion in a node, might there not be many many more that have not reached the critical mass necessary to light up?
Since you did ask, personally I would zap the node with SBRT and do full pelvic with IMRT and ADT. Better safe than sorry down the road. Best,
Phil