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Rising PSA at 5 months post-RALP

Prostate Cancer | Last Active: 1 day ago | Replies (45)

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@begreat99
Thanks for sharing your experience. I have been told that my SRT will involve 37 treatment sessions. I wonder why you only had 8. Was this because they were only targeting the lesion that was found and not the whole prostate bed?

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@animate
Yes. The scan did not show any additional needs. O lymph nodes. Some seminal vesicle invasion. I will likely need more radiation down the road but for now we are holding steady. I will say the radiation was uneventful. We have a radiologist here that exclusively specializes in prostrates so that gave me some comfort. I also visited Mayo for a second opinion and they concurred.

@animate Typically 3-10 treatments are SBRT (5-10 Gys per fraction) while 20-45 treatments are IMRT (1.8-3.5 Gys per fraction with higher Gys for lower number of fractions). At 37 fractions the dose is about 2 (ask your RO). You can ask RO if it would be better to use 20-28 hypo-fractions at a higher dose but 37 for IMRT salvage radiation is not unusual.