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RALP May 2017, PSA now 0.2

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User
Posted 09 Mar 2021 at 12:05

OH who is 59 has just had a letter saying that he will be having a video call next week to discuss radiotherapy, this was not unexpected as in Dec 2019 it rose to  0.1 and stayed there till Dec 2020. Its now 0.2.  What questions should we be asking?

User
Posted 09 Mar 2021 at 12:05

OH who is 59 has just had a letter saying that he will be having a video call next week to discuss radiotherapy, this was not unexpected as in Dec 2019 it rose to  0.1 and stayed there till Dec 2020. Its now 0.2.  What questions should we be asking?

User
Posted 09 Mar 2021 at 20:48
I would ask:-

- will you be recommending hormone treatment alongside the RT?

- if yes, how long for?

- If no, why not when most men do seem to have HT as part of their salvage treatment

- how many fractions (sessions) are you planning to do and at what strength?

- are you planning to zap just the prostate bed or a wider area? Why?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

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User
Posted 09 Mar 2021 at 20:48
I would ask:-

- will you be recommending hormone treatment alongside the RT?

- if yes, how long for?

- If no, why not when most men do seem to have HT as part of their salvage treatment

- how many fractions (sessions) are you planning to do and at what strength?

- are you planning to zap just the prostate bed or a wider area? Why?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 10 Mar 2021 at 19:33

I would ask will they be doing a PSMA PET scan first to identify exactly where the cancer cells are, so they ensure they're included in the salvage radiotherapy.

Otherwise they will probably just guess they're in the prostate bed (which is most likely), but if possible request a PSMA scan first to be sure. At 0.2, you are borderline if a PSMA scan will find them though.

Was the prostate histology suggestive of anything left behind? If so, that would add weight to it being in the prostate bed.

 
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