Posted 10/30/2019 4:59 PM (GMT -7)
I had a robotic RP about two months ago and have been discussing additional treatment with my three oncologists (surgical, medical, and radiation). The RADICALS-RT study that was reported at ESMO a few weeks ago has started a bit of a debate. That study has shown no advantage to adjuvant radiation/ADT versus early salvage treatment. One of my doctors now says don't do any adjuvant treatment, one says he's not opposed to watching/waiting at this point, and one says absolutely do adjuvant radiation/ADT. What's driving the doctor who wants me to continue with immediate adjuvant treatment is that although my Gleason score wasn't horrible (3+4=7), post-surgical pathology showed involvement in 2 lymph nodes (out of more than 40 removed).
So, I'm wondering -- even though the presentation on RADICALS-RT was just a few weeks ago, has anyone been getting any feedback from their doctors on it? If so, what are they saying?
9/18 - PSA 10.4, DRE negative (Age 53)
3/19 - PSA 10.9, Free PSA 0.9 (Age 54)
3/19 - MRI positive / PI-RADS 5 / Transition Zone
6/19 - MRI-guided biopsy positive, Gleason 3+4=7, 3/3 cores positive
8/19 - Robotic RP w/extended lymph node dissection
- pathology showed bladder neck involvement, both seminal vesicles involved, 2 lymph nodes positive, all margins negative
10/19 - PSA undetectable (<0.03)