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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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@heavyphil

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

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Replies to "Most welcome! I forgot to add - most importantly! - why I had IMRT. My prostate..."

Hey heavyphil,
Thanks for the added facts and info! My RO is recommending IMRT over SBRT due to the treatments being lesser of a radiation dose, spread out over more sessions than SBRT. On 12/ 18/ 24 I had TURP procedure done to reduce the preasure my oversized prostate was putting on my urethra causing alot of Urinary problems! They took out 17 grms of prostate and now still healing but urinating much better! Due to this my RO wants to use IMRT with a lesser dose as not to possibly bother / injure that area which I had the surgery.
Thanks again for the insight!
Stay well!