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Is hormone therapy necessary with radiation?
Prostate Cancer | Last Active: Jul 19 8:36pm | Replies (104)Comment receiving replies
@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.
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@brianjarvis
The vast majority of people with prostate cancer will produce PSMA. As a result, a PSMA pet scan will find it unless it is too small to see, Or there is nothing there yet.
In those cases, neither of the other scans will be any good.
That’s why they usually do salvage radiation, even if it might be somewhere else it is likely to also be in the prostate bed or the lymph nodes near it.
People can wait for metastasis to show up. I suspect that could cause some anxiety