posted by Roderick
09 January 2023
Radiation Options - Lymph nodes or not
Last reply: 21 days ago
Greetings I am a Gleason 8 (3+5) PSA 10. Apparently I am T2C N0 M0. The cancer is 1.8cm along the anterior of the prostate. It seems to be contained within the prostate. The radiologist recommended IMRT and this seemd fine. However, i saw a second radiologist and they said, given the grade and extent of tumour, they would suspect that micromets could be beyond the capsule and they recommend radiation not only of the prostate but to also include the lymph nodes. Now in terms of risk management the latter approach seemed sensible but of course risks of damaging the surrounding areas will increase. I am at a loss as to what to do!