Axumin results today was encouraging but want you opinion on next course of action.
After RP in August 2018 My PSA had risen, from zero, .2, .6, then 1.7 at month 4 months.
1. Mild focal radiotracer accumulation in the prostate bed, possibly representing local recurrence. No evidence of soft tissue recurrence in the lymph nodes of the pelvis, abdomen or chest.
2. Mild focal radiotracer accumulation in right medial pubic ramus, possibly representing osseous metastatic disease. Linear radiotracer activity at superior aspect of S1, suggestive of degenerative disease. Suggest repeat bone scan for further evaluation.
My question is my RadOnc wants to do radiation to the prostate bed which includes the pubic bone, because there’s no solid proof of Mets. I’ll first be starting Lupron and Zytiga 2 months before the 6.5 weeks of Rad.
I’m going to confirm w my original team at MD Anderson if this is what they recommend?
I’ve been told to perhaps hold back Radiation for now.
Any thoughts experiences is greatly appreciated.