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Received MRI Results Today

Prostate Cancer | Last Active: Jan 31 11:54am | Replies (89)

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@mac44

Thank you for your information on cyber knife outcomes and your questions. My PSA at time of biopsy was 6 (up from 4.1 of previous year). Biopsy took 16 cores, 12 of which had various amounts of cancer. 10 cores were 3-3 and 2 were 3-4. (Unfavorable intermediate, given over 50% cores having cancer.) My urologist sent cores our for Polaris test (genetic test) to assess level of aggression. I have an enlarged prostate (91 cc). My Urologist, who surgically removes prostates, advised against surgery and I will be seeing a Radiation Oncologist in his practice soon. Apparently, the practice has used Cyberknife for awhile. While I have heard and read good things about Cyberknife, I will likely be talking with other providers and other radiation or ultrasound treatments about a fuller range of options.. While I am 78, I am quite active (regularly work outside with chain saw and other power tools to clear brush and produce firewood from logs, lift weights and use the treadmill frequently.) Increasing longevity will be important as will continence and erectile function. Any further observations would be most appreciated.

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Replies to "Thank you for your information on cyber knife outcomes and your questions. My PSA at time..."

He had radical prostatectomy 11 years ago. it had a relapse 1 month ago.
İ have impotence and incontinence.
If I had my mind now, I would have radiotherapy instead of surgery.
I hope everything goes well for you.

Your cancer does sound pretty treatable with radiation. There are other options though MRIDian radiation has a more focused team and damages less tissue around the area being treated.

Other non-radiation treatments are Focal Therapy, NanoKnife, cryotherapy, HIFU,, TULSA-PRO. I don’t know if you would have a problem because of your age, but it sure doesn’t seem like it, considering how a good shape you are in.

Thumbs up to your surgeon; so many don’t do right by their older patients and subject them to unnecessary surgery when radiation has the same outcomes and far, far less side effects.