Prostate cancer T3b: Anyone else had radiation and what was outcome?

Posted by leighnewman46 @leighnewman46, Dec 17, 2024

Hi my prostate cancer T3b diagnosed to have radiation. Has anyone else been through this treatment and what was the outcome

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@ddl

I was in a similar situation, living in the Yucatan peninsula of Mexico. I had the same stage as you and was Gleason 8. I went to Mexico City and consulted a very reputable surgeon at a top notch hospital. He’s a surgeon so he recommended surgery. I had a PSMA scan that showed seminal vesticle invasion, but the surgeon convinced me he had a good chance of getting it all. Well he didn’t. So I ended up traveling to Houston and received IMRT radiation at the Dan Duncan cancer center. So far so good. The advice i would give is seek out a facility with latest generation radiation equipment and a great Radiation Oncologist. I believe that a well planned treatment delivered by newest generation equipment can give you the best results with the least collateral damage/side effects. I have seen many studies where Australian doctors and facilities were involved. I’m confident there are some good options there for your treatment.

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I'm sorry to hear that. It's a dilemma:

- surgery will remove all of the cancer inside the prostate, but will miss any that's spread outside locally and hasn't been detected yet (that seems to have been what happened in your case, if I'm understanding correctly)

- less-focused radiation therapy can attack cancer near the prostate as well as the cancer in it, but comes with more side effects (because the radiation does collateral damage as it spreads)

- tightly-focused radiation therapy will have the fewest side-effects, but might miss some not-yet-detected cancer other places inside the prostate, as well as any local spread adjacent to the prostate

So, as I've mentioned before, there's no slam dunk here. They all have comparable overall-survival rates, and none alone is guaranteed to get everything. Some people follow a prostatectomy with post-op "salvage radiation" to have a better chance of catching any undetected local spread, but then you get both the surgery *and* radiation side-effects.

It's a bit like a version of Let's Make a Deal where there's a goat behind every door. 😕

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@ddl

I was in a similar situation, living in the Yucatan peninsula of Mexico. I had the same stage as you and was Gleason 8. I went to Mexico City and consulted a very reputable surgeon at a top notch hospital. He’s a surgeon so he recommended surgery. I had a PSMA scan that showed seminal vesticle invasion, but the surgeon convinced me he had a good chance of getting it all. Well he didn’t. So I ended up traveling to Houston and received IMRT radiation at the Dan Duncan cancer center. So far so good. The advice i would give is seek out a facility with latest generation radiation equipment and a great Radiation Oncologist. I believe that a well planned treatment delivered by newest generation equipment can give you the best results with the least collateral damage/side effects. I have seen many studies where Australian doctors and facilities were involved. I’m confident there are some good options there for your treatment.

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That is a great consideration - to find a facility with the best/newest equipment.
I really like that idea.
What I'm finding is different people with variety of situations.

It's a bit like that woman goes to the shop to find a husband and on each level a different option and she can't go back to a previous level.

This site is good and all the real people. I did wonder if any of the people could be AI generated.

I'm a bit of a conspiracy theory type lol.

Let's see if anything happens with my next questions.

How old are you may i ask and how long have you been going through the different stages.

Have you had anyone tell you about treatment with ivermectin?

Thanks mate for your time. Have a good Xmas

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@leighnewman46

That is a great consideration - to find a facility with the best/newest equipment.
I really like that idea.
What I'm finding is different people with variety of situations.

It's a bit like that woman goes to the shop to find a husband and on each level a different option and she can't go back to a previous level.

This site is good and all the real people. I did wonder if any of the people could be AI generated.

I'm a bit of a conspiracy theory type lol.

Let's see if anything happens with my next questions.

How old are you may i ask and how long have you been going through the different stages.

Have you had anyone tell you about treatment with ivermectin?

Thanks mate for your time. Have a good Xmas

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I’m 62 years old. I was first diagnosed in August of 2021. I’ve heard of invermectin - but don’t know anything about it. Merry Christmas to you as well.

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@leighnewman46

That is a great consideration - to find a facility with the best/newest equipment.
I really like that idea.
What I'm finding is different people with variety of situations.

It's a bit like that woman goes to the shop to find a husband and on each level a different option and she can't go back to a previous level.

This site is good and all the real people. I did wonder if any of the people could be AI generated.

I'm a bit of a conspiracy theory type lol.

Let's see if anything happens with my next questions.

How old are you may i ask and how long have you been going through the different stages.

Have you had anyone tell you about treatment with ivermectin?

Thanks mate for your time. Have a good Xmas

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My urologist suggested the expertise of the radiation treatment team was more important than the age of the equipment.

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If they are talking about different SBRT machine types then the device can have a direct effect on the tissue around the area being treated. The MRIdian SBRT has a sharper focus and uses less radiation than other SBRT devices. That can mean the tissue around the area being treated is not as affected by nearby radiation.

Regular SBRT (cyberknife) can affect tissue around the target area more.

Other radiation types have had no major improvement that I am aware of.

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Thank you

I have asked the specialist 2 questions about the drug I am taking and having radiation. I did this in an email 19 days ago but no answer.
I'll keep your info and ask the radiologist when I see him. I'm still wondering if the drugs a bad for my liver.
I have asked for an appointment from my old family doctor to see if he can get me in to see another urologists for a second opinion. Christmas could be getting in the way I expect.

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@jamesbake

My urologist suggested the expertise of the radiation treatment team was more important than the age of the equipment.

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Cheers - I'll do what I can

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@leighnewman46

Thank you

I have asked the specialist 2 questions about the drug I am taking and having radiation. I did this in an email 19 days ago but no answer.
I'll keep your info and ask the radiologist when I see him. I'm still wondering if the drugs a bad for my liver.
I have asked for an appointment from my old family doctor to see if he can get me in to see another urologists for a second opinion. Christmas could be getting in the way I expect.

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Orgovyx - and others can raise certain liver enzymes. My levels have shot up and I was told to abstain from all alcohol….even on XMAS….NO-NO-NO!!!

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@jamesbake

My urologist suggested the expertise of the radiation treatment team was more important than the age of the equipment.

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NOT!!

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