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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

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.

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Replies to "Additional explanation, hope for 2 or 5 fraction vs 7 wks of down time plus recuperation...."
heavyphil | @heavyphil | Jan 3 6:01am

While I do understand your line of reasoning, You say “….and then PSA failure at some point” after either of the traditional treatments. There happen to be MANY successes with these treatments and only a certain much smaller percentage of cases go on to become totally ADT dependent (or castrate resistant, which is even worse).
If your reasoning is incorrect - and you do not wind up with “a few” areas to target, but too many smaller ones for which SBRT is not an option…what then?
We obviously disagree on treatment choices - mine is to hit it with the kitchen sink! - while your view is that both surgery and radiation may be superfluous, and ADT the true definitive treatment option. I guess your success/failure with your approach really depends on the aggressiveness of your cancer (Gleason, Decipher, etc) and I am sure you’ve considered all these factors in making your decision. Best!

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