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Go with local prostectomy surgeon or pursue big center 2.5 hours away
Prostate Cancer | Last Active: Feb 13 12:44pm | Replies (74)Comment receiving replies
The RO happens to be "Chief of Brachytherapy Program". The current tentative treatment proposal is one session of HDR, followed by either 5 or 20 sessions of EBRT depending on the random selection in a study he's running, with either 1 year or 2 years of ADT. He wants a better idea of exactly what is going on with my urinary symptoms so he's scheduled some tests and imaging.
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@climateguy I almost got into one of those trials where they were testing SBRT in place of the 20 sessions of IMRT for the wide area pelvic treatment. Theoretically, SBRT can be programmed to perform like low dosage IMRT but there have been problems with high toxicity in making that work. My advice is to use HDR Brachytherapy as a boost to the prostate and use IMRT for the wide area pelvic treatment. See more details on that here https://www.inspire.com/m/williamwattsmith/about/