Apparent Mets to External iliac and also peri-aortic lymph nodes

No, T4 means the tumor did grow even further outside the capsule, e.g. into the bladder. The peri-aortic mets change your M0 to M1.

George

Fair wind, my doubling time is about 5 months. But since my PSA is so low, my doctor said my increase in PSA may be mathematic (from .4 to.45 to .62) as opposed to logarithmic. Still thinking about this...

Jim

For what it is worth as one sample, Radboud nano-iron MRI showed common iliac and para-aortic lymph node involvement, IMRT and 4 months of degarelix did nothing, see signature for details.

Yes, I tried radiation. I was anxious to do it quickly, so I did not give ADT as much lead time as I probably should have. My RO, who previously worked with Zelefsky at MSK, was most interested in this case and he and his physicist spent lots of extra hours planning it all out. I did four months of Degarelix starting early Feb 2015 and IMRT of about 50 grays from 2/16 to 3/25/15. Preceding PSA was 2.77 with doubling time running about 10 months but volatile. After the Degarelix wore off the PSA progression looked like this: 10/21/15=0.04, 1/19/16=0.34 and from there it continued up with a doubling time of two to four months. Autumn of 2016 I was scheduled for a clinical trial of apalutamide at Memorial Hermann in Houston, but that never got off the ground (when I was there in Sept. they said all dox had just been signed, I don't know what happened). So at the end of 2016 I started Degarelix again and went to 0.02 PSA where I have been ever since. The RO is Dr. Tim Hollister at MCSO, https://www.mcsodoctors.com/hollister if you or your RO want to make contact.