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What would be best course of treatment

Prostate Cancer | Last Active: May 31 7:32am | Replies (15)

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@jeffmarc

Many doctors would recommend that at your age, radiation would make the most sense. ADT first to get it to shrink. SBRT would be common recommendation with 3+4, pick your type!

Have you asked about TULSA-PRO at Mayo? They use it. Many people in this forum have had it and have been pleased with it. Ask your doctor.

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Replies to "Many doctors would recommend that at your age, radiation would make the most sense. ADT first..."

I'm pretty sure TULSA-PRO would not be appropriate for a cancer with extra prostatic extension and involvement of the right neurovascular bundle. I had a very small area of EPE, with no spread to other areas (yet) and my RO said focal therapy would be contraindicated as it would not cover the EPE, or in the OP's case, the nerve bundle.

Thxs Jeff, I will ask!