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ADT or SRT first after BCR

Prostate Cancer | Last Active: Oct 4, 2023 | Replies (20)

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@michaelcharles

James1951:
I was answering the general question in general.
I recently completed Salvage radiation together w/ 4 mos ADT; as recommended by my Rad Onc at Johns Hopkins.
My understanding is that for BCR: Moderate risk cancer recommendation is Radiation and 4 - 6 mos of ADT.
High risk cancer recommendation from a recent authoritative study is Radiation and 18 - 24 mos ADT.
My cancer was G 9, which would be high risk, however my ADT recommendation was 4 mos (did not have decipher analysis).
Listened to, and trusting, my Rad Onc.
Lower risk cancer recommendation may be Radiation only.
As others have noted, there are a number of schools of thought, and many different recommendations.
Best to all to manage these challenging decisions.

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Replies to "James1951: I was answering the general question in general. I recently completed Salvage radiation together w/..."

I did 6 months Lupron and 70 Gy. radiation
35 sessions. 2020….my PSA since then has been 0.00

You mentioned that “ High risk cancer recommendation from a recent authoritative study is Radiation and 18 – 24 mos ADT.” I would like to read that study if you have the reference.