SBRT failure , PSMA results

[reconjj]

Brothers , Sisters , i received my results from pylarify , pet scan : Findings : The images demonstrate focal intense PSMA accumulation in the right lateral pelvis adjacent to the right hip and posterior to the femoral vein , SUV max 24. This corresponds to a small somewhat oblong lymph nodes measuring 5x6 . prostatic bed un remarkable . No other abnormal PSMA avid lesions identified . Whole body Pet/ct demonstrating a single PSMA avid lesion in the right pelvic sidewall posterior to the femoral vein and adjacent to the right hip joint, corresponding to 5x6mm lymph node. This was from the VA Hines . Dr. Stephen Welsh Chief of Radiolgy . I received a 6 month jab of Eligard today . All this happened since Dec.7 . You all chime in please, Thanks SemperFi , JJ

[tango65]

Discuss if it is possible to have whole pelvis radiation and ADT plus abiraterone for 2 years.

[6357axbz]

Will you have the Mets zappet

[Tall_Allen]

I'm sorry to hear this. But there is only one pelvic lymph node affected, so it may still be curable.

[mperloe]

What sort of SBRT was done? How was the initial treatment done? Many cases of supposed failure of treatment are more likely failure to accurately diagnose the extent of disease initially.

[Javelin18]

The radiologist report says “prostatic bed unremarkable”., so it appears there’s no cancer in the prostate and the original SBRT of the local tumor was successful but cancer had already escaped to the local lymph node. I’m surmising that it lay dormant until now.

It sounds like you caught the now active cancer in the lymph node early. I agree with TA that it may still be curable. I think the combination of SBRT to the new lesion along with the systemic A good approach.

I’ haven’ looked into how whole pelvis radiation works, so I can’t offer my opinion on it. I would suggest discussing with your RO whether irradiating the whole area or just the lymph node lesion is best