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Half of Prostate Cancer Focal Therapy Cases Were Inappropriate
Prostate Cancer | Last Active: Aug 22 2:07pm | Replies (29)Comment receiving replies
@swl1956 It is unlikely that the metastasis occurred and grew large enough to show on a PSMA in 6 months. With RP they do not take all lymph nodes so you could be in the same situation if you chose surgery. Even with RT, depending on how far the nodes are from the prostate they could have been outside the zone of treatment. ROs try to minimize that to reduce side effects. Now if they had lit up on the previous PSMA than the RT treatment would have included them.
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@jim18
It can grow and show in short period of time - happened to my husband after RP. PSA started moving upward after 6 mos and at about 8 mos uPSA 0.16 PSMA showed clearly visible and multiple glands glowing. Aggressive cancers grow fast.
PSMA scans are not 100% reliable - micro mets are not visible until they start growing and I always cringe when patients say with 100% certainty that "cancer is contained". It looks contained but it does not mean that it really is - that is how and why BCR happens *sigh