ABDOMINOPELVIC NODES: PSMA avid right internal iliac lymph node, image263, 0.5 x 0.4 cm, SUV 3.3.

[rnewman751]

Psa 0.26 the results of ga psma pet scan are ABDOMINOPELVIC NODES: PSMA avid right internal iliac lymph node, image

263, 0.5 x 0.4 cm, SUV 3.3.

I had davinci 2/2014. Salvage radiation 9/ 2015. Psa no longer undetectable 6/2019. Original Gleason 3+4, T2b.

I'm having consult w MO on Friday to discuss next treatment. I would appreciate any thoughts, recommendations of questions I may ask.. I am brca 2 positive. Thank you .

[tango65]

I would discuss having whole pelvis radiation (prostate fossa and lymph nodes) and 2 years of ADT plus abiraterone as per the STAMPEDE trial

thelancet.com/article/S0140...

urotoday.com/conference-hig...

This treatment offer good chances of long term control of the cancer, and if there are not distant mets (the PSMA PET/CT does not see any lesion less than 4 mm) , it could be curative.

[rnewman751 in reply to tango65]

The node is not in the prostate fossa or the bed of the pelvic floor, from my understanding it would be higher on the internal iliac lymph node chain.

[tango65 in reply to rnewman751]

It is not consider a metastasis. The cancer is N1 M0 according to the PSMA study. The cancer still is in the pelvis around the internal iliac artery.

[rnewman751 in reply to tango65]

Thank you tango65.

[tango65 in reply to rnewman751]

Best of luck!!

[Tall_Allen]

That SUV is marginal - might be a false positive. What is your PSA?

[rnewman751 in reply to Tall_Allen]

Psa on 5/31/2022 was 0.26

[Tall_Allen in reply to rnewman751]

That's pretty low. You can just watch it if you want to.

[j-o-h-n]

I vote with T.A.

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 06/29/2022 7:39 PM DST