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Newly diagnosed with prostate cancer and still gathering information
Prostate Cancer | Last Active: Apr 22 2:46pm | Replies (115)Comment receiving replies
How old are you. I was diagnosed with Gleason 8 in late December and just turned 52. The question when it comes to long-term survival is whether RP with possible salvage RT ( plus ADT) has lower up-front risk of a second recurrence compared to that of a first recurrence with primary RT.
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I don’t think so. I can’t recall all the studies but RP seems to have uncomfortably short times before recurrence. Because of the risk of undetected cancer, they tend to radiate around the lymph and pelvic areas. But, if you are going to do that, why not just do radiation. That way you don’t have the prostate removal to deal with. With what I have been researching, all the indications seem to be, we have been over-treating. My current guy has the same philosophy as I do…don’t treat if you can’t see.
I’m 73 btw. As a further thought, less applicable to me, but more for you is: the technology and mindset is changing quickly. There will be better technology latter on if you need it. But some of the RT I’ve seen have incredibly long cancer-free results.