Well, you're already on ADT, so why not give the radiation a shot? In a sense it's really the only choice you have since the lymph nodes are involved. Even if radiation doesn't cure you, there is a theory - yet to be substantiated - that de-bulking the primary tumor may be life extending. Radiation would kill the cancer cells in the prostate (de-bulking), possibly slowing spread, even if some cancer cells have already escaped. This is a question to discuss with the radiation oncologist.
There may still be a chance for a cure, but if that doesn't happen, the radiation treatment could still be beneficial by reducing the tumor load.
2015 (Age 54) PSA: 20.8
Bx: All cores G7 (4+3)
RALP & Adjuvant RT
Pathology: G8 (4+4)+5
PSA nadir: 0.1, steady increase until 2019: 64.13
2019, March: Lupron/Xtandi, PSA: 1 month: 0.126; 3 months: 0.036; 6 months: <0.02
Post Edited (mattam) : 9/4/2019 6:20:40 PM (GMT-6)