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@tbyota It’s a good starting point. You are probably going to be put on ADT which suppresses the cancer. Take your time to do your research. You will benefit greatly and when you make your decision, you will be more confident in what you choose. PCRI.org is a good starting point. ASCO recent conferences. Dr. Kwon’s videos from Mayo, are worth viewing. Good luck! Just finished an SBRT Proton Beam therapy and and just booked two trips to keep on enjoying life!
Replies to "@tbyota It’s a good starting point. You are probably going to be put on ADT which..."
@robertov
Actually, I think that ADT would be used only IF the cancer has spread, which the upcoming PSMA scan should determine.
That is, if the cancer has spread beyond the prostate, a prostatectomy doesn't cure it, so radiation and, yes, ADT likely combined, is the most likely course.
If, on the other hand, his Gleason 8 is contained within the capsule, a choice should be made whether to pursue surgery or radiation to deal with it. I was advised that either approach has equal outcomes for my Gleason 8 (3+5).
I went with with the (Da Vinci) surgical approach on Monday--doin' just fine--as I didn't want to deal with the many side effects of hormonal therapy, as well as the possibility of rectum disruption. Also, if metastasis does raise its head in the future, it's much easier to go from a surgical approach to radiation than vise-versa, by my understanding.
There's a definite learning curve involved here, and it ultimately comes down to the individual to make their own, hopefully informed, decision on treatment.
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@robertov Thank you