← Return to Gleason 7 (4+3) radiation, but ADT also? Over treatment?

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@jeffmarc

Everyone is different. There is no set answer we can give you as to whether or not that will be all you ever need for treatment. It is becoming more common to have a few SBRT sessions along with IMRT. The SBRT sessions concentrate on the prostate while IMRT Sessions Focus on the prostate bed.

My brother with a 4+3 had only five sessions of SBRT. No need to do the whole prostate bed since his cancer had not spread. He was 76 when this was done.

I am really puzzled by your comments about your PSA. You say it’s always been .6, Are you sure about that? If it’s that low, then you may need an FDG scan because you may not be producing PSMA either.

A CT scan cannot find all of the cancer in somebody’s body. A PSMA pet scan is a much better choice since it can actually see metastasis, which a CT scan cannot see. Can you get a PSMA pet scan Before doing radiation. That may not be enough, however, if you don’t produce PSMA either than you need an FDG scan.

Some more things to think about.

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Replies to "Everyone is different. There is no set answer we can give you as to whether or..."

PSA definitely 0.6 for the past five years. No symptoms other than some frequency in the night. Digital/rectal every year by my GP found nothing but the urologist felt the 5mm nodule immediately. Then showed up on the echography and then the MRI followed by bone scan ( clear and recently the CT scan - also clear ). PET scans on offer 50 km away but had not heard of FDG so thanks for that.

As you say, lots to think about.

Best regards,

David

Jeff,
What age is your brother now ? What were his side effects ?
Thanks .
p.s. I am considering Monotherapy SBRT . I am coming 85 years young.