Recurrence after radiation.

[Yacky]

I was diagnosed with prostate cancer and completed radiation treatment in 2017. Recently my PSA number has increased to 2.4 and my urologist scheduled a pylarify test. The results identified two lymph nodes and the left seminal vessel as areas of concern. An appointment with an oncologist was scheduled and he suggested I also see a radiologist which has been scheduled. My question is what treatments are available after undergoing the 38 radiation treatments 5 years ago? I was on Eligard IN 2017 for 6 months and hated the side effects do ADT.

[Tall_Allen]

If the pelvic lymph node area wasn't previously treated, the non-overlapping area can still be treated, with a boost dose to the known lymph nodes. Your radiation oncologist will have to determine to what extent the previous treatment affected the area. Unfortunately, at least 2 years of ADT with abiraterone are required with it.