← Return to Salvage metastasis-directed therapy versus elective nodal radiotherapy

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Profile picture for thmssllvn @thmssllvn

I guess I was trying to emphasize avoiding conflating organ confined disease and surgically removed prostate with metastasis. Inn the former prophylactic (50%) pelvic lymph node radiation appears to have only an effect on BCR with a PSA >40. An overworked RO suggested its use had more benefit than BCR in a <10 PSA.

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Replies to "I guess I was trying to emphasize avoiding conflating organ confined disease and surgically removed prostate..."

@thmssllvn
PSA is just one of many parameters. Very aggressive PC actually often produces less PSA than indolent. We were told that by our urologist. My husband had cribriform, IDC and gleson 9 and his PSA was about 5.4 before surgery. I personally would not use PSA as the only parameter for making any decision regarding PC treatment.