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Jeff Marchi avatar

Is hormone therapy necessary with radiation?

Prostate Cancer | Last Active: Jul 19 8:36pm | Replies (104)
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This is for salvage radiation after RP and BCR, why the PSA levels are low. BCR after RP is PSA >0.2 ng/ml so the hormone treatment breakpoint of PSA >0.5ng/ml being effective is well above when radiation should start.

The same type of breakpoint at a much higher level may (or may not) exist for adding ADT to primary radiation treatment but was not considered in this study.

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Replies to "This is for salvage radiation after RP and BCR, why the PSA levels are low. BCR..."
Jeff Marchi | @jeffmarc | Jun 6 5:58pm

@jim18
What you’re saying is true but unfortunately we’ve seen a lot of people come into this forum whose PSA has gone above .5 and they’re still not getting salvage radiation.

It just seems that some urologist are not following the standard of care and let people drag on without treatment.

It is true, however, that some doctors like Dr. Kwon and Dr. Scholz (PCRI) Seem to like to have the PSA rise to the point where they have metastasis show up in the PSMA PET scans before they do something and they then want to zap those metastasis as a treatment. I’m sure it must work for some patients. Those that have advanced cases risk long-term problems when treatment is not done in a timely manner.

Definitely can’t say who’s right Without a number of years of clinical trials.

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