Options when adjunct or salvage radiation can't be used?

crw41atacc

My Cystoscopy was fine. no findings.

The imaging center performed a CT w/wo contrast. A CT urogram was supposed to have been performed. That type of study is good for the kidneys and does visualize the ureters, but doesn't nearly visualize the ureters as well as a CT urogram.

I am going to have to speak to urologist - order was correct, not sure where the problem happened.

I am not sure what to do next. My decipher test is pending (sounds more academic that anything else).

VascodaGama

Hi again,

It is pity that you haven't continued posting in your first thread. Those reading, in particular the beginners, would gain from knowing details of your case and history.

You are doing well in getting those exams correctly and tests before going through a final decision.

Though your radiation of 43 years ago being of insignificance, the Gy of that time will be always taken into account no matter in what type of salvage RT you are going to choose, if any.

Another topic for discussion with the radiotherapist is the findings of cribriform type of cancerous PCa in your prostate specimen. These, if being the cause of the biochemical failure, require higher doses according to clinical studies.

The decipher test will help in your decision on the other options of treatment apart from the radicals. I think that you should consider consulting a medical oncologist specialist in PCa cases. Hormonal therapies alone or concomitantly with chemo may be worth of a thought.

You are an important member of this forum. Your medical knowledge is of great value. Take the chance and be the advocate of yourself. Talk to your family too.

We need luck in this journey.

Best wishes for this difficult paragraph in your life.

VGama

Clevelandguy

https://csn.cancer.org/discussion/comment/1721486#Comment_1721486

Hi,

As you probably already know both the Cleveland Clinic and University Hospitals have excellent cancer centers. I had my Prostate removed at UH Siedman cancer center, University Circle. I think both also have Proton machines, I know UH does. Good luck…….

Dave 3+4