I have always found Dr Kwon’s approach unsettling. If standard SRT to the bed and nodes is to be frowned upon, why then do so many men - including myself - see a dramatic DROP in PSA levels after treatment?
Surely, if there is undetectable cancer in soft tissue outside the traditional area of treatment, the radiation (with ADT in my case) would not affect it and PSA levels would be expected to rise…they don’t!
I’ve read of the different ways metastasis occurs - and they are all based on extremely complex (like paragraphs of Greek letters) mathematical formulae. The ‘stochastic’ model is bewildering to comprehend.
I have heard that pancreatic cancer spreads this way, in that once the tumor reaches a certain size, it is considered inoperable, as it has already micro - metastasized everywhere; which is why it is so deadly and carries such a high mortality rate.
But prostate cancer doesn’t - cure rates (long term remission) are incredibly high, so again, I wonder about Dr Kwon’s assertions.
Don’t get me wrong, he’s the expert, he’s the genius and his many papers prove his vast knowledge in this field, but with your pathology I personally would not waste any time in getting SRT with ADT. Your cancer has many factors which make it more aggressive.
Just my layman’s opinion, not medical advice.
Phil