What treatment help
My father 74 age 3+4=7,grade 2,psa 8,8,biopsy 4 of 12 positiv all left and left centar 1 and 2 (6%-10%) 3 and 4 (11%-20%)
Surgery or radiation
ASAdvocate Member Posts: 185 Member
In my fourteen years of researching possible treatments (I am a Gleason 6 on active surveillance), I have never read any large scale, peer-reviewed, multi-institutional study that showed another treatment matching the non-recurrence results of SBRT/Cyberknife radiation. Not even close.
Just my opinion, based on my research.0
lighterwood67 Member Posts: 345 Member
Probably one of the toughest questions to resolve when dealing with Prostate Cancer. You need to make yourself very knowledgeable on types of treatments. My recommendation would be to pay particular attention to the folks who have actually had SBRT/Cyberknife radiation. And the ones who have had a Radical Prostatectomy. Be sure and get both sides of the treatments (mainly side effects, recurrence rates, and cure rates), from an experienced Doctor. Good luck on your journey.0
I second both prior posts.
The choice may not be straightforward, but you and your Dad do have time for further study. Please be aware that a typical urologist knows little about radiation therapies. At the same time, there are specialties even within radiation oncology. Therefore, you may want to consult with an SBRT specialist and a brachytherapy specialist.
Also note that to make a decision, the specialist will need to know how close the cancerous area was to the edge of the prostate.
Finally, there used to be a 'rule' not to perform surgery on guys over 70. However, if the patient is in good health (no significant comorbidities) exceptions can be made.0
Clevelandguy Member Posts: 816 Member
Your choice on surgery or some form of radiation treatment. If going the radiation route I would look into Proton radiation which had a fixed length beam that does not go past the cancer(less collateral damage). Proton radiation might not be available everywhere but is very similar to Cyberknife. Cyberkife shoots a beam through your whole body so other organs might need to be protected with injectables gels so the radiation does not injure your bladder or rectum.
Make sure your dad also considers a combination of IMRT and IGRT forms of radiation. They are lower dose than SBRT, but require either 28 or 45 treatments, for about a ten minutes (1 hour total). but lower side effects, same efficacy from what I have seen. Stand for Intensity Modulated Radiation Therapy and Image Guided Radiation Therapy0
Boki. I was a couple years younger than your father when I had the RALP. Four of twelve positive, two suspicious. EPE and positive Margin on right side. Percentage, I think, was 33%. Surgery went fine. Incontinence big time still (5 years later). All PSA's since were "virtually undetectable". Mr. Johnson still "at ease".0
VascodaGama Member Posts: 3,595 Member
It seems to me that his doctor is only suggesting a preliminary clinical stage based on the biopsy report. Probably he has judged the situation as localized so he mention on the possibility of a radical treatment of RP (surgery) or RT(one form of radiation).
Your dad should do a MRI before making a decision.
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