Do you offer adjuvant chemotherapy or abiraterone for patients with high and very high risk prostate cancer with still detectable PSA after radical prostatectomy and lymph node dissection?
Answer from: Medical Oncologist at Academic Institution
I will recommend reimaging outside conventional CT and bone scans. The goal of imaging is to rule out metastatic disease and (hopefully) identify localized residual disease in prostatectomy bed or pelvic LN and consider early salvage RT. Fluciclovine PET is now commercially available and also PSMA P...
Answer from: Medical Oncologist at Academic Institution
I agree with @Lakshminarayanan Nandagopal.
- Advanced Imaging
- Use of early salvage therapy with ADT for 2-3 years
- No role of Docetaxel
A question occurred though, @Lakshminarayanan Nandagopal. If checking for BRCA, do you advise/recommend adjuvant PARPi?
Comments
Medical Oncologist at University of Alabama School of Medicine I would do HRD germline testing just as a standard...