My Father (age 62) was diagnosed PC with a 14 PSA Score. 2 Months ago he had a robotic radical prostatectomy surgery. Patalogy report specified; pT3aN1M0, Gleaseon 7 (4+3), Pattern 4 rate %60, Grade Group 3 and unfortunattelly surgical margin is positive. (Carcinoma metastasis in 2 of 10 removed lymph nodes). After 30 days of surgery PSA was 0,24 and now after 70 days of surgery PSA is 0.59. I know he need some more treatment. Some RO says IMRT is enough and some others says that IMRT + Hormone Therapy is much better for him. Hormone Therapy may effect cardiovascular system in later time and he is just 62 now, I think he should begin hormone therapy if PSA will rise again after IMRT but I am really so confused
I would be glad if I could get your feedback.
(By the way he takes curcumin tablets, eats 3 brazil nuts and drinks pomegranate juice daily)