NCCN very high risk locoregional prostate cancer patient status post radical prostatectomy, now in Biochemical...

I apologize, but I notice that the source material provided focuses on melanoma guidelines rather than prostate cancer. To properly answer your specific question about prognosis for very high risk prostate cancer with biochemical recurrence, I would need to reference the NCCN Guidelines for Prostate Cancer or other authoritative sources specific to prostate cancer management.

To provide you with accurate information about prognosis and treatment options for your specific situation, I would need to cite current guidelines from sources like:

• NCCN Guidelines for Prostate Cancer
• American Society of Clinical Oncology (ASCO) prostate cancer guidelines
• American Urological Association (AUA) guidelines
• European Association of Urology (EAU) guidelines

Without access to these specific guidelines, I cannot make specific claims about prognosis or compare different treatment approaches. I recommend discussing your specific case with your oncologist or urologist who can access the most current guidelines and provide evidence-based recommendations tailored to your situation.

Would you like me to provide a new response once I have access to the appropriate prostate cancer guidelines to properly address your question?