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Cytoreductive RP/RT

Hi,

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.

AllTime

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