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Looking for info on HDR Brachytherapy to ask Radiation Oncologist

Prostate Cancer | Last Active: May 28 6:15am | Replies (27)
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@robertov

I have 4+4 and localized with clean PSMA. You are suggesting radiation is required so the margins are radiated? I have been on Orgovyx for several months now. My main concern is urinary or rectal problems.

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Replies to "I have 4+4 and localized with clean PSMA. You are suggesting radiation is required so the..."
heavyphil | @heavyphil | May 26 7:47am

Well, HDR brachy is a one shot deal - seeds in and out in 45 -60 mins to blast the G4+4. It is then followed by either IMRT or SBRT to treat the remainder of the gland/bed.
It is possible - and please get clarification on this - that your RO wants to treat your pelvic nodes as well and that’s why he wants to use IMRT.
Not sure if SBRT is suitable for that? But if you only have the one small area of G4, no cribriform and a low (?) Decipher I can’t see why 5 fractions wouldn’t be preferable. Best,
Phil

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