Connect
← Return to Cyberknife side effects.
Discussion
Prostate Cancer | Last Active: 6 hours ago | Replies (13)
Comment receiving replies
Thanks so much for your comments.
Basically they said a 7 put you in the treatment protocol vs AS. I had a urologist oncologist consult and he agreed with treatment.
I will ask the urologist and radiologist the benefit for toxicity of the IMRT multiple treatments at a lower dose. I have read they from others also.
I do worry about the all 12 positive. I have not heard of anyone else with 12 of 12. I believe the surgeon said that lessons the chance of nerve sparing.
Replies to "Thanks so much for your comments. Basically they said a 7 put you in the treatment..."
Connect
Yes, according to the NCCN guidelines, a 3+4=7 can put you in the protocol for AS….as long as there are no other risk factors identified:
> PSA
> % Free PSA
> PSA Doubling Time
> PSA Density
> other MRI issues
> other biopsy issues
> biomarker (genomic) test results
> genetic (germline) test results
If they’ll do a PSMA PET scan, that would help in making the AS decision.
Regarding your 11 Gleason 3+3=6s. There’s some debate in the medical community as to whether a G6 should even be called cancer (since a “3” structure cell can’t metastasize) and therefore shouldn’t be considered as a G7+. (That a 6(3+3) is a harmless benign tumor - that it shouldn’t necessarily be treated.) With a Gleason 6, they’ll usually recommend active surveillance, unless you have other known risk factors.
As for nerve-sparing as a treatment consideration, surgery ranked dead last in my choices when I was considering quality-of-life being equal priority with success.