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Difficulty In Deciding on IMRT or Proton Therapy

Prostate Cancer | Last Active: 1 day ago | Replies (26)

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@jseabass

Hey heavyphil,
Great to hear how well you did on IMRT! As mentioned my doc feels thats the right treatment for my condition. But I will ask him about the Decipher score test. And thanks for your explanation of how you did on Orgovyx, as I would prefer that over the older Lupron shots. And yup, understood I definitely have to put more time and emphasis on exercise!
Thanks again pal!

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Replies to "Hey heavyphil, Great to hear how well you did on IMRT! As mentioned my doc feels..."

Most welcome! I forgot to add - most importantly! - why I had IMRT. My prostate had already been removed 5 yrs ago so I HAD to have IMRT since it has to cover a very wide area - prostate bed to pelvic nodes; they really don’t know where the surviving cancer really is so they carpet-bomb….
The guys talking about 5 dose SBRT is for patients like you who are getting your primary treatment for PCa; IMO it is the preferred way to go if there is no spread; especially the MRI guided system.
So please ask these RO’s specifically WHY they are not recommending this treatment over many, many sessions of IMRT. THEY “might” suspect a breached or broken prostatic capsule even though your PSMA is clear. FWIW, “clear” doesn’t always mean CLEAR - some cancer could be present and not show; sorry, but that’s the state of the art, such as it is… Best
Phil