ABDOMEN/PELVIS LYMPH NODES: There is an interval increase of the abnormal radiotracer involving the left-sided internal iliac lymph node at CT image 239 and previously visualized at CT image 245 (current SUVmax 10.6). There is also new mild abnormal radiotracer involving the left-sided external iliac lymph node at CT image 251 (SUVmax 2.9).
HOW BAD IS THIS? Can it be taken care of?
Have you discussed this with your MO and RO?
going on 2/23 to see MO and RO. Genetic consult on 4/24.
It depends on what was previously irradiated. Talk to your RO.
I’m no longer with the RO that did my first radiation treatments. I still have my prostate. I’m now going to Roswell Park Cancer Institute in Buffalo. I’ll be seeing the MO and RO on 2/23
Your records should still be available. The new RO will need your old treatment plan to devise the new one. You will require radiation to the entire pelvic LN area (not just the one's you can see) and about 2-3 years of ADT.
thank you so much. The new doctors do have his previous records.
There's some interesting new data on the optimal duration of hormone therapy given along with salvage radiation. It's usually up to 2 years. A new trial suggested that "intensification" by adding abiraterone and apalutamide to ADT may be able to reduce that to 6 months.
I participated in a trial taking Lupron, abiraterone and apalutamide for 3 months prior to RARP. The outcome was as the team had hoped but the side effects for me were difficult. Significant memory issues, speech issues, major fatigue and the other more common effects of ADT. Tough three months but I'd do it all again if needed.
im assuming you are cancer free NJ Warrior, and for how long. In a very similar situation. But cant take Zytiga. Jus apalutamide.
I'm not sure I'm cancer free. My PSA is slowing rising. I'm waiting a few months for confirmation.
Hi TA - Do you have a reference to this trial? I am in the same situation and am on 2-3 yrs ADT with abiraterone to be added after I complete chemo. Thanks.
Adding both, or just one to the ADT
Can you provide a link to that data please
Hi TA, do you have a reference for this new data?
Consult with RO for whole pelvis radiation and 2 years ADT plus abiraterone based in the Stampede trial
Your oncologist will explain it to you. I always research results and terms used before the appointment to help understand results. Ask questions for anything you don't understand doctor tells you. They are used to the need to clarify.
than you
Need Help Interpreting My PSMA/PET SCAN
1st PSMA pet scan results; help with meaning?
PSMA PET scan results 
PSMA PET/CT results
