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ADT first then Radiation? Or Surgery?

Prostate Cancer | Last Active: 2 days ago | Replies (7)
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@brianjarvis

What I found as I was reviewing resources back in 2019/2020 (for my 2021 proton radiation treatments) was that if the treatment failed, all the options were still available (depending on the nature of the recurrence) —> focal therapy, brachytherapy, SBRT, and sometimes even re-radiation (depending on how well the rectum was protected during initial radiation),

Then, at the 2023 PCRI mid-year conference, I heard Dr. Rossi say pretty much the same thing in his presentation: starting at 4:53:00 (Re-radiation) at https://www.youtube.com/live/WTqPnSRYtW4?feature=share

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Replies to "What I found as I was reviewing resources back in 2019/2020 (for my 2021 proton radiation..."
heavyphil | @heavyphil | 2 days ago

Oh sure, We’ve heard some members talk about retreatment with radiation after initial RT…but this cancer abutting the bladder doesn’t give much room for error - even with proton beam therapy.
Protons may not pass thru the targeted area as readily as photons but the targeted area (in this case) is the bladder and a double dose might not be favorable.
Dr Rossi has treated many patients successfully so I believe he knows what he’s talking about.

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