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The NCCN PCa classification system vs new MMAI model

Prostate Cancer | Last Active: Jan 3 6:01am | Replies (16)

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@billfarm

I have read a few hundred prostrate cancer case studies most of which from this forum. I believe there is a common pathway of treatments. Surgery or radiation with eventual psa failure. Then more radiation with or without short term adt. Then psa failure again at some point. The default then to tame the psa is adt 98percent of the time. Since I discovered the intermittent adt studies I postulate that is what most are doing without knowing it. ADT prior to radiation. ADT after psa failure etc etc etc.My independent thought is that when I have psa failure while on adt holiday I hope to get definitive scan target(s) that can be precisely radiated, ablated or in some way permanently dealt with. Call me crazy?

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Replies to "I have read a few hundred prostrate cancer case studies most of which from this forum...."

Additional explanation, hope for 2 or 5 fraction vs 7 wks of down time plus recuperation. I still run an active7day/wk business that I don’t exactly know how to retire from. The potential bladder and bowel issues wouldn’t be helpful either in my case. Drs are split on my path of treatment. Mayo radiologist was the most supportive of my logic. Lead oncologist also on board. Others worried about straying off standard protocol.