1. < Prostate Cancer

Surgery or Radiation?

Posted by ava11 @ava11, Mar 9 12:41am

Got my Biopsy results today at 5PM. 5 cores Gleason score 4+3
2 cores Gleason score 4+5
Cancer still in the gland but it is close to periphery.
I have an appointment with Dr LEE at UCI who did my biopsy on March 5th. He does RP, so I am assuming he would suggest surgery?
I am 88-year-old but fit and healthy.
Any suggestions what my next steps should be to make a decision.

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mikewo | @mikewo | Mar 11 10:00pm
In reply to @ava11 "Thank you all for the advice given to me. My appointment with Dr Lee is on..." + (show)
@ava11

Thank you all for the advice given to me. My appointment with Dr Lee is on Tuesday, March 12th. He claims he did 6300 RP's, and I am hoping he wouldn't recommend surgery for my situation and recommends radiation. Then it would be more reassuring if a surgeon recommends radiation!
I am leaning towards Proton therapy in San Diego and reached out to them for an appointment Dr. Rossi.
I will also consult with RO's at UCI, City of Hope and UCLA before I make a final decision.
Any suggestions who is the doctor that does most prostate treatments at any of these centers?

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I was 73 1/2 with two Gleason 4-3 and two Gleason 3-4's out of 30 cores (big prostate). I elected for the five proton treatments at Mayo Phoenix as I figured if I get fifteen years before the prostate might kill me, I am 88 and really don't want to wind up in a nursing home. I too am physically fit and walk three miles a day and never got sick with anything other than the PC. A lot of good advice from many of these commentors. It still boils down to your choice. My three-month PSA and nine-month PSA were both undetectable. So far so good.

REPLY
ava11 | @ava11 | Mar 18 2:10pm

I just with Dr Percy Lee at city of Hope in Irvine. He recommended IMRT of 28 sessions and Brachy therapy and hormonal therapy to do it right first time and gave me a choice of skipping Brachy Therapy.
I will consult with Dr Kishan this Friday at UCLA. Still trying to get an appointment at California Proton Center.
One question, if I am going to have 28 treatments of IMRT, is it better in terms of reduced side effects, to have 28 IPRT treatment at Proton center?

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