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I agree, Bob, with what you wrote. Through PNI, cancer cells can freely migrate to just about anywhere, and not only cause micro mets, but even as one of my doctors has said, create micro clusters. The best surgery and/or RT aren't going to prevent this happening. My own case is evidence of this, with a decent surgical pathology, yet recurance post surgery of 9 months, and recurance post SRT also in 9 months. The cancer was long out of the barn in my opinion.
Aloha,
At the time of treatment I knew nothing about eventual spread of PCa to other parts of the body. I knew my own situation was hi risk, and I agreed with my uro that radiation (EBRT) was the only choice I had. I now feel that perhaps that choice was better than I realized because the treatment MAY have targeted those little fellows outside the prostate that only pelvic cavity treatment (EBRT) would/could knock down. For how long remains to be seen.
Life is still difficult but perhaps life will be longer.
Joe
