I had a robotic prostatectomy in January, 2019. My highest psa prior to surgery was 9.0. The biopsy showed Gleason 9. The preoperative MRI and bone scan did not identify any lymph node or bone involvement. The post surgical pathology showed Gleason 9, seminal vesicle invasion, EPE and 3 positive lymph nodes. I was put on Lupron shortly after surgery. Foundation One found no mutations. My PSA a month after surgery on Lupron was <.1 as well as a subsequent PSA in May. I had 37 sessions of radiation to the pelvis and lymph nodes May-July 2019. I just has an ultra sensitive PSA and it was <.01 with testosterone of <7. The plan is when my PSA reaches .2 I will go on Xtandi.
My question is, in many of the excellent posts on this forum it appears the MO is being very aggressive and customizing treatment to a specific patient . My treatment is more "by the "book". If I went to one of the major cancer centers is there something more they would be doing at this time? Thank you.