This forum is for the discussion of anything to do with Prostate Cancer. There are only four rules:
No fundraisers, no commercials (although it is OK to recommend choices of treatment or medical people based on your personal research; invitations to participate in third-party surveys are also acceptable, provided there is no compensation to YANA);
No harvesting e-mail addresses for Spam;
No insults or flaming - be polite and respectful at all times and understand that there may be a variety of points of view, all of which may have some validity;
Opinions are OK, but please provide as much factual evidence as possible for any assertions that you are making
Failure to abide by these simple rules will result in the immediate and permanent suspension of your posting privileges.
Since this is an International Forum, please specify your location in your post.
After the last PSA result following 5 months of ADT, the doctor spoke about cytoreduction as an option.
He acknowledges that the situation is tricky and that it might be a case of overtreatment. On the other hand he believes that RP/RT in my dad's case (refer to Almost Diagnosed thread) will almost certainly help PFS and CSS. He will discuss this further internally with his colleagues.
I have read a case here where adjuvant RT was administered in a similar scenario and there have been a few papers where RT is discussed in M1a setting. In a lesser number of cases, cytoreductive RP is also performed but there are only a few instances. Also, I understand a clinical trial is presently underway at MDA to see if RP can be performed on patients without bone metastasis and limited nodal involvement.
I would appreciate if you can share your experiences or your opinions on this matter.