Connect
← Return to Is Hormone therapy necessary With radiation
Discussion
Is Hormone therapy necessary With radiation
Prostate Cancer | Last Active: 10 hours ago | Replies (81)Comment receiving replies
@brianjarvis
I have seen both Kwon and Scholz Talk about the exact same thing at PCRI. I watch all their conferences. One key is this statement “ have recurrence only in the prostate bed”. The word only is a real key factor. What percent have it in the prostate bed and elsewhere, But the pet scan can’t find it anywhere. Kwon and Scholz both talk about doing PSMA PET scans until something shows up and then zapping it. I would not be comfortable with that as the only treatment.
In those cases, it would make sense to radiate the prostate bed, and close by lymph nodes, because that would get rid of Some of the future issues.
I have posted in other messages a study that showed that people with advanced cases need to have Salvage radiation by the time the PSA hits .25 or it has a significant impact on their PFS.
Replies to "@brianjarvis I have seen both Kwon and Scholz Talk about the exact same thing at PCRI...."
Connect
@jeffmarc Yes, words are important but, they’re not problematic. As Dr. Kwon points out in an earlier video, it’s important to correctly stratify the disease. That will help us - as patients - understand and feel comfortable with what the appropriate treatment might be.
So, whether it’s localized, involves lymph nodes, oligometastatic, or metastatic matters. We just have to know what exactly is going on.
If the PSMA PET scan can’t find it anywhere, Mayo Clinic falls back to their old C11 Choline PET CT scan; everyone else has access to the old Axumin (F18-Fluciclovine) PET CT scan.
But, if scans (including MRI) can’t find it anywhere (life isn’t always perfect), I would then have to wing it - and decide to either wait or to treat (possibly) unnecessarily.
Having only had primary external radiation (+ ADT) myself, all that would factor into my decision.