PSA continued to rise, and repeat PSMA imaging showed new sites of PSMA - avid nodal disease in
the common iliac region, directly above the radiotherapy field.
Common areas that may refer pain to the pelvic region include: the abdomen, lower back, hips, pubic symphysis (the firm, fixed joint between the two pubic bones) and sacro -
iliac joint (the joint formed by the sacrum and ilium where they meet on either side of the lower back).