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Do I need find a medical oncologist following proton therapy?
Prostate Cancer | Last Active: May 20 10:12am | Replies (3)Comment receiving replies
You don’t just want a medical oncologist, you want a Genito urinary oncologist, They specialize in prostate cancer and have much more information than medical oncologist who work with all different types of cancer. With a Gleeson eight and what looks like metastasis spread speaking to a GU oncologist would make a lot of sense before radiation.
If you have one core that is Gleason eight, you are a Gleeson eight the seven is irrelevant. The question is, did they find anything else in the biopsy? Cribriform, seminal Vesicle invasion and intraductal can be a problem, and in some cases brachytherapy is used at the end to make sure everything has been treated.
A PSMA PET scan Can only see metastasis that are larger than 2.7 mm, And even up to 5 mm they are questionable and that’s pretty big. You could have those bone mets zapped with SBRT, but you do need to treat the underlying cancer which would include treating the prostate.
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In my biopsy report, No Intraductal carcinoma of prostate (IDC-P), No Perineural invasion, and no Extraprostatic extension). No lymph invasion. My PSA is 5.8. I check the PSA level every year,but last year, the value suddenly raised to 6.8. My other healthy conditions are well. Due to the gleason score is 8, so I make decision to do proton treatment. I will talk with my radiation oncologist regarding find a GU oncologist. I also think it has no help for continuing my urologist after proton treament.