I am a prostate cancer who has undergone radical prostectomy back in 2023. Later scans revealed BCR and there were two subcentric lesions on rt iliac lymph node.
Radiation was recommended and i did a 6 week treatment.
Post radiation i was on surveillance for psa. Psa was creeping up after hitting a nadir of 0.03.
The psa dt was turning out to be less tjan 3 months and my onco asked me to do a psma scan.
Last week i did a psma scan and there is a 6 mm tumor in same rt iliac lymph node. So radiation actjally failed to kill the tumor.
So my onco onco surgeon ois of the opinion to do PLND, and remove the lymph nodes.
He feels its necessary and can bring down psa and adt wont be needed for quite some time.
But PLND has its own after effects like lower limb edema etc.
So my dilema is should i get these lymph nodes removed once and for all and live with the side effects or should i seek another opinion and see if ADT can shrink the tumor.
Would it be risky to leave the tumor as it is coz that can metastasize to other parts?
Any suggestions?
