Anyone received salvage lymph node removal for BCR after prostatectomy
After experiencing biochemical recurrence after robotic prostatectomy (4 years ago) current PSA 0.25 my social health care was scheduling me for 25 sessions RT with additional 3 sbrt to suspected infection in common illiac lymph node which showed up on pet psma scan 8 months ago, I decided to do another pet psma scan in case the situation had changed and my plan had to be updated. I have to do the scan in a private clinic at a cost of 3000€ as insurance doesn't cover me but considered it worth the cost to get updated scan for treatment on social health care. The scan showed an increase in SUV max from previous scan SUV (1.9) increasing to (2.5) The scan was done in the same private clinic, one of the best in Spain.
I have now been presented with the possibility of a clinical trial, radiotherapy+ 6 months adt and additional drug apalutamide which shows potential, but incredibly the urologist is also suggesting I am a good candidate for surgery,removal of the infected lymph node and all other lymph nodes that are accessible to him. There is no guarantee that it will cure me but he says it can significantly delay the radiotherapy and hormone treatment. So my situation is now very different from having treatment in social care I can now enter a trial in one of the best clinics in Spain all costs of treatment follow up pet psma scans and closely monitored included, or I can opt for the surgery and if I relapse still enter the clinical trial for the RT ant adt with apalutamide.
If anyone out there has received surgery on lymph nodes for biochemical recurrence after prostatectomy with or without pet psma verification could you please share your experiences and any problems associated with the procedure. I believe some of the more difficult lymph nodes are more tricky to remove.
Thank you everyone for your input.