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when to start ADT for SBRT treatment of 4+3

Prostate Cancer | Last Active: 1 day ago | Replies (13)

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@smurphympls

In my case, 3+4=7, localized and Intermediate risk, my urologist and RO both agreed that a six month course of Eligard should start before my SBRT treatment (True Beam STX). Both, as the OP suggested, wanted the ADT to starve and weaken the tumor cells so they'd be more amenable to radiation. So I had my ADT shot on February 14 2024 (love the irony of a hormone shot on Valentines Day ;-)) and I started radiation in May, with the final 5/5 fraction on May 17.

The specifics of your case may dictate your RO's preferred course of action, and/or that's how they were trained and are most comfortable with that treatment plan. I don't know if there is any reliable research suggesting one approach or the other, but it's worth understanding your RO's thinking. And you may want to consider a second opinion too. If I've learned anything in this journey it's that self-advocacy is a necessity, and that may not always be easy when we're talking to "the experts". Best of luck to you, and warrior on!

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Replies to "In my case, 3+4=7, localized and Intermediate risk, my urologist and RO both agreed that a..."

Thank you, Scott, for sharing and kind encouragement. When it come to seeking treatment from a large University medical center (in my case, it is UCSF). It is very daunting to book consultation, tests, etc. Long waiting time is very frustrating when you might have a deadly disease. I found a urologist on line when I had an elevated psa, but after meeting him I didn't like his communication style as well as the fact that he even did not perform the DRE. So I went UCSF to book fusion biopsy and other tests and consultation with urology oncologist and radiation doc. Everything is 2 weeks to a month waiting. There's only one doctor there inserting spaceoar, the waiting time is more than a month....