Jul 23, 2014 - 11:33 pm
I was diagnosed with prostate cancer in May 2014. Gleason of 6, PSA 4 with one biopsy core at ~5% out of 12 positive. I know that this is a very early stage and I often feel like I am the exception in being diagnosed this early. I am 50 so I don't think watchful waiting is really the right course of action to take since my PSA has risen from 1.2 in 2009 to now 4. So my guess is that within 1-2 years it will be closer to 10 and be considered in stage 2. I have ruled out surgery. I don't think that it is neccesary in my case. I don't want to become incontinet and impotent at this point in life. The only other option is radiation. I have visited two treatment centers. One using IMRT with the Calypso markers and Proton beam. I am going to visit a Cancer Treatment Center of America that is near my home which is the Chicago area. My worry with radiation is the long term risk of secondary cancers. I am leaning toward PBT but want to make sure that I haven't misssed anything with photon therapy. Can anyone give me some advice on either treatment. Does anyone have any experience with Cancer Treatment Centers? When I setup a consult they immediately want to run a Bone Scan, CT and MRI. I didn't have that happen with the other two centers. I understand that a CT will be done once the fiduciary markers are placed in the prostate. Any advice would be appreciated.