Recurrent CRPC latest PSMA scan and suggested treatment option

[wat380bjw]

Thank you gentlemen for all the information shared on this site. I had a PSMA scan in Dec which revealed recurrent disease in the prostate and three lymph nodes, all very small. I am almost complete the three cycles of Provenge. I saw a RO yesterday to see his treatment options. He is recommending waiting 3-4 months to see Provenge effectiveness then doing two cycles one week a part of HDR, did not want to discuss anything else except possible LDR ( low dose seed implant). Any body have any experience with HDR to treat recurrent disease? Are there better options that you have experience with? SBRT? I appreciate any comments Thanks Brad

[Tall_Allen]

You won't see Provenge effectiveness. The only way we know Provenge works is one lives longer. It may be a good idea to have the salvage HDR-BT sooner rather than waiting, so that you can take advantage of the abscopal effect. You still have to have external beam radiation on your pelvic lymph nodes.

[wat380bjw in reply to Tall_Allen]

Thank you Tall Allen. I always respect your comments. I understand your comments, any idea why he wants to wait? He didn't answer that question for me or why he wouldn't do SBRT which I thought would be more accurate.

[Tall_Allen in reply to wat380bjw]

SBRT is not more accurate than brachytherapy.

You have to be an empowered patient and get your questions answered.