Replies to @jeffmarc Thanks again Jeff, and yes, the associated research and future decisions on which way to...

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Prostate Cancer | Last Active: 1 day ago | Replies (80)

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@toomany

@jeffmarc Thanks again Jeff, and yes, the associated research and future decisions on which way to go for recurrent treatments, including evaluation of potential side effects, etc., is going to be 'daunting'. Of course, in the end, my primary radiation oncologist is likely to call all the shots, but the list of various options, that people in my shoes have chosen out there (in conjunction with ADT), is getting longer by the minute . . .

Salvage surgery
Proton
VMAT
Cryo
HIFU
TULSA
Pluvicto
. . .
. . .

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Replies to "@jeffmarc Thanks again Jeff, and yes, the associated research and future decisions on which way to..."

jim18 | @jim18 | 5 days ago

@toomany > See Jeff's comment on salvage surgery.
> Ablative procedures include Cyro (freeze); IRE (electric); Laser; Ultrasound (HIFU ; Tulsa ). What is best depends on the size and location of the lesion. Get opinion from specialist practice that does most of these if you go this route.
> Proton or Photon RT likely with ADT (? doublet with ARSI: Nubeqa,Erleada,Xtandi). VMAT, IGRT, IMRT, SBRT are RT abbreviations. SBRT is for high dose (5 sessions).
> Since your PMSA PET was clean you do not qualify for systematic treatments for metastatic cases (Pluvicto, Chemo, etc.)

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