Diagnosed in July of 2017, with RP in Feb of 2018. Post op PSA levels were zero until Feb 2020, and today is around 1.0.
In July, (this month), I traveled from Colorado to UCLA and paid out of pocket for a PMSA scan, which shows PC only in the prostate bed region. There was discovery of lymph node activity after surgery, (they clipped 3 nodes- 1 was positive). My gleason was 7, (4+3), and the urologist stated the cancer was more aggressive than they initially thought, with PC breaking out of the prostate capsule, engulfing one set of nerve bundles. My PSA at time of surgery was around 8.5. The PSA started popping positive again at the 2 year mark. Now, 4 years later it is just above 1... (1.0 as of June)
My radiologist is recommending full on 7.5 weeks of prostate bed and lymph radiation, along with hormone deprivation, while the urologist, (now retired) was strongly recommending prostate bed radiation only for 5 days or so, for side effects and quality of life. Thoughts?