1. < Prostate Cancer

6 months or 18-24 months ADT with salvage Radiotherapy

Posted by rad62 @rad62, Mar 8, 2023

After RARP in 2019 my psa is back up to 0.26 from 0.02 post op.
After PET/PSMA scan right common illiac node showed possible tumor infiltration (SUV-1.9)
I have now decided that the best treatment option for me due to high risk pathology is Radiotherapy combined with ADT.
My question is now, 6 months or 18-24 months ADT.
Research i have found seems to suggest 6 months maybe long enough and give better return to normal testosterone levels and life quality in comparison to 18-24 months.
My radio oncologist is pushing me for 24 months but i am not convinced there are benefits over 6 months.
Would be very helpful to hear peoples experiences in regards to this subject and any links with latest studies e.t.c.
thanks.

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rad62 | @rad62 | Mar 17, 2023

I wish you the best outcome with your treatment.

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graemer9 | @graemer9 | Mar 17, 2023
In reply to @rad62 "Thank you for the information. I am in Europe so not sure if different meds are..." + (show)
@rad62

Thank you for the information.
I am in Europe so not sure if different meds are used here.
After deciding not to wait I have a new appointment with the social health care radio oncologist march 29, I will discuss it with them, and see what they propose.

We have an MD Anderson Cancer center in Madrid
( connected to that of Texas)
I believe my insurance covers me there so I will also be consulting with them.

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All the very best, rad62. My perception (quite possibly wrong) is that Europe and Australia have sometimes been ahead of the US in offering innovative diagnostic tools and treatments, mainly because of the FDA approval process.

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