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Salvage Radiation Therapy with or without ADT added?

Prostate Cancer | Last Active: 14 hours ago | Replies (29)
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@heavyphil
Thank you for your response. I do see your point about suggesting to go with the 6 months of ADT. You mention that it is temporary but I have read that some of the effects are not fully reversible and that some permanent damage might occur. The cardiovascular damage is one of my biggest concerns.

My Oncologist did suggest that radiation to the pelvic lymph nodes would be required, besides the prostate bed. Thank you for pointing that out.

I just checked the SSPORT trial that you mention. Very interesting study that does confirm the substantial benefit of adding treatment to the lymph nodes. Thank you and thank you for the encouragement!

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Replies to "@heavyphil Thank you for your response. I do see your point about suggesting to go with..."
heavyphil | @heavyphil | May 4 7:30am

@animate I understand your fears concerning cardiac issues with ADT; but if you have no uncontrolled co-morbidities (treatable with meds) or history of stroke or ischemic heart disease, it should not be a problem.
I would check with a cardiologist for sure before deciding…Best,
Phil

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michaelcharles | @michaelcharles | May 9 1:33pm

@animate
I had SRT w/ short term ADT after persistent PSA of .19 post RP consistent with the SPORTT trial.
Didn't like it but at the end of radiation, I was glad that I had agreed to the ADT as part of my salvage treatment. I only had 1 chance to have effective SRT and went with my ROs recommendation.
No permanent effects that I have noticed since ADT wore off, which was 4 - 6 mos after completion.
Best wishes

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