Just Back from Meeting With Radiation Oncologist.

On advice from members on this forum in getting more information than just from my URO , I saw a radiation oncologist(RO) yesterday. Very positive. My present situation, although a bit strange, is not that different in that all PC cases do not fit the perfect mold she said. After RP surgery 4/13, PSA=2.80, my PSA has gone up to over 9.00 and now is back down to 1.17 6/18 with no drugs or treatments. My URO has booked a procedure with the PSMA Pet/CT scan in Vancouver, BC probably within the next month. The RO said that if small tumours were detected in the prostate bed area(possibly the reason for higher than average post PSA numbers), radiation could be started to try and eliminate the PC in this area and if there was signs of distant tumours let say in the bones somewhere else then specific radiation treatments could try and target these tumours. So broader radiation in the prostate bed(area around where the protate use to be), and more specific radiation for individual distant tumours. Does this make sense? If there are signs of tumours that were not detected by previous BS, CT scans and are detected by this PSA specific PSMA Pet/CT scan, is radiation the way to go as opposed to ADT? The RO said that there can be possible SE from radiation to the bladder and other organs in the pelvic area.

Yes Tall Allen, I believe that is what the RO was refering to when talking about the prostate bed. All of the LN in the area included.

Hello Slapshot,

Always a good idea to consult with an oncologist, in addition to the original urologist that most of us begin with.

My oncologist opened many new doors, in terms of treatment options, that have continued to help me.

Never hurts to consult with another expert in the field.

My oncologist quickly became the "quarterback" on my medical team, because of his insight, expertise, and perspective.

All your medical doctors become part of your TEAM ... your post is a testimonial to the importance of this. I'm thankful I added an oncologist to my team. Sounds like you are, too, Slapshot!

All my best,
Cyclone - Iowa State University