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Gleason7(3+4) - treatment options recommendation
Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)Comment receiving replies
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.
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@jeffmarc
Hi Jeff,
Yes the photon radiation treatments have improved. I had a choice of photon or proton and even though the outcome predictions were the same the proton does not pass through body but stops at the margins set up by your R/O. Photon radiation treatments have drastically improved reducing side affects. The SBRT can move the beam around to keep away from organs and tissues that was not the case with early photon radiation treatments.
UFHPTI received a 25 million dollar federal grant to study long term outcomes of all types of radiation treatments. I was asked to be a participant in that study and I agreed.
The chance for cancer cells (it is at the celluar level) to continue to grow is high if present and not treated. I asked my R/O: "Do you treat just the areas that were shown positive on the biopsies or entire prostrate?'" Answer: "We treat the entire prostrate." He stated you are talking about cancer at a celluar level and no biopsie or MRI can see or determine all areas of prostrate that may have cancer cells.
I read over and over about those who had surgery to remove the prostrate thinking was the way to go as all would be gone only to have the cancer show up in other areas.
Everytime someone asked about tests I always suggest Decipher tests, PSMA, and bone scans. This can HELPp determine if any cancer cells have moved out of prostrate undetected and are growing elsewhere. Not full proof either but at least doing everything you can to determine if has gone outside of prostrate and a more agressive and different treatment.