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Second Opinions in Prostate Cancer

Prostate Cancer | Last Active: Jun 18 12:36pm | Replies (40)

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Hi workmanbiff, I just completed the same regimen at Sloan, although for salvage radiation ((surgery 2019).
Your husband’s biopsy is eerily similar to mine in that there was a lot of G4+3 in the gland. However, the presence of cribriform cells in one sample is concerning.
That’s an aggressive form that does not respond as readily to radiation as adeno/acinar cells.
You might ask about an HDR brachytherapy ‘boost’ (seed placement) prior to the 26 sessions.
During my stay at Sloan in Commack I met 3 men who had this done in conjunction with 5 visits of Cyberknife ( not 26 of IMRT).
Sloan is one of the best but you MUST ASK QUESTIONS!! My first RO (chief also) was an older man who did things the old fashioned way; didn’t care for his approach.
My next was a young, dynamic, tech savvy guy- Dr Andrew Barsky - who was up on all the latest research and tailored my treatment from 39 visits to 25 and 6 months Orgovyx.
You gotta do this the best way possible the FIRST time, because when radiation treatment fails it usually involves a lifetime of hormones and whack a mole SBRT treatments. Best of luck to you!
Phil

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Replies to "Hi workmanbiff, I just completed the same regimen at Sloan, although for salvage radiation ((surgery 2019)...."

Thank you for your insight Phil.
We just received the Decipher test results this morning - which is 0.95 high.
Have a consult with MSK surgeon on June 16th for his surgical recommendations.
Once we hear from him we can determine the best course of action.
So appreciate your reply . . . and to know that we are not alone in this journey.
Best,
glo