Need prostate cancer specialist in Atlanta area, had radical prostatectomy 2013. PSA gone to 7.0

[Mackeyandme]

Had surgery but PSA is climbing. PSMA scan confirmed activity in lymph nodes. Would like a second opinion. Suggestions?

[Tall_Allen]

Your alternatives are (1) to go for a cure with salvage whole pelvic radiation + ADT + hormone therapy or (2) to maintain the cancer with ADT plus advanced hormone therapy. For #1, you have to talk to a radiation oncologist. For #2, you have to talk to a medical oncologist. I suggest you talk to both and then decide. Meanwhile, start on ADT so that your cancer doesn't spread.

Consider this clinical trial:

clinicaltrials.gov/ct2/show...

[Mackeyandme in reply to Tall_Allen]

Thanks, have a Dr appt on Weds and will assess next step. Appreciate the info.

[tango65]

Where are the lymph nodes located? Are they in the pelvis ?

[Mackeyandme in reply to tango65]

Hi Tango,

Have a Dr appt on Weds to discuss PSMA scan. Preliminary discussion with Dr indicated cells in a couple of different lymph node locations. Will determine next step on Weds. Appreciate your info. Will post following Dr visit.

[ncisc001]

Dr. Mehmet Bilen at Emory

[EdBar]

I live in Atlanta area but have had to travel to see a prostate specialist. I currently see Dr. Sartor in NOLA who coordinates with my general MO in ATL. I currently see Sartor every 6 months, he is excellent, one of the best in the field. And having a reason to enjoy some NOLA food every six months is a nice fringe benefit, lol.

Ed

[Mackeyandme]

Hi Ed,

Live in Senoia and have a "group" appointment with my MO and Radiologist tomorrow (Tues) for an initial discussion. May solicit a second opinion. Been doing a lot of research. Had Radical Prost 10 yrs ago, PSA level and then spiked to 8.0, did PSMA scan and found the little bastards in lymph nodes in a couple of places. Will know more later, will post. Thanks for the lead.

[LeeLiam]

You may want to go see Dr. Busch at the Busch Center (Alpharetta). He has the latest 3T MRI available. He can do a multi-parameter MRI of the pelvic area or a whole-body MRI. He has decades of experience in dealing with prostate cancer.

[j-o-h-n]

Greetings Mackey and Mannie,

Please tell us your bio. Age? Location? When diagnosed? Treatment(s)? Treatment center(s)? Scores Psa/Gleason? Medications? Doctor's name(s)?

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Good Luck, Good Health and Good Humor.

j-o-h-n Monday 02/07/2022 10:57 PM EST