Study from New England Journal of Medicine

[diatom]

sciencedaily.com/releases/2...

Does this relate to patients already treated with radiation ?

Diagnosed 3 years ago Gleason 9. EBRT and Brachytherapy plus 2 years ADT..

Now 3 years out and PSA went from undetectable to 3.0

PSMA PET shows 4 lymph nodes to pelvic area. Restarted on lupron and casodex.

One month later PSA gone to 3.7

Medical oncologist started me on Erbela today.

I want chemo also but oncologist disagrees.

[Tall_Allen]

No, it only applies to men who are newly diagnosed and who have distant metastases when first diagnosed.

Your oncologist is right- chemo would be inappropriate before there are distant metastases.

If your pelvic LNs weren't treated with radiation before, they can be treated now

[Graham49 in reply to Tall_Allen]

Is it inappropriate because of side effects and the cost?

[Tall_Allen in reply to Graham49]

Chemo before metastases is inappropriate because it has no benefit:

prostatecancer.news/2019/02...