After Extandi for 3 years got rid of the bulk of the tumors, a new lymph node tumor is growing at the L1 level between the spine and the aorta. Not very many choices now. Wondering about salvage surgery or radiation safety. Not had either yet nor chemo. Don't want chemo. Local urologist refused to do surgery after initial diagnosis GS9, M1, PSA 40, no bone mets.