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Gleason7(3+4) - treatment options recommendation
Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)Comment receiving replies
@jeffmarc
True, what the statistics now show is at least with radiation the outcomes are equal. That does not mean side affects and secondary issues it means whether the prostratce cancer was successfully treated.
I know Mayo Jacksonville does not have proton radiation for any of their cancer treatments. They are building a new cancer center that will have it. However they use the new SBRT photon radiation which is vastly been improved from intially photon radiation.
My only concern and is just my opinion not medical knowledge is that if entire prostrate is not treated you might miss small areas, or just even cancer cells that are not deteted and the direct treatments to just specific parts of prostrate might permit some cancer cells to go untreated and of course means they could start growing more and more.
Replies to "@jeffmarc True, what the statistics now show is at least with radiation the outcomes are equal...."
I agree with you that whole gland treatment is less risky than targeted or focal therapy. I had focal brachytherapy in 2020 and the radiation field missed significant aggressive disease. I wasn’t monitored adequately and PCa came raging back.
The lesson is focal therapy may not get it all.
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Last year, my brother had five sessions of SBRT at UCSF. They cooked the whole prostate even though not all cores had cancer. I think that is pretty standard for SBRT radiation. Now there are newer techniques used that don’t cook the whole prostate, and you are probably correct. They can leave stuff that spreads the cancer later.