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@jeffmarc
Thanks for the reply Jeff. Just to be clear adding HDR Brachytherapy with SBRT or Proton would be good if someone has cribriform? RO also mentioned HT like Lupron could be added for up to 18 months.

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Replies to "@jeffmarc Thanks for the reply Jeff. Just to be clear adding HDR Brachytherapy with SBRT or..."

@copyman
They use IMRT followed by HDR brachytherapy now, it gives people a lot more confidence that they will not have it come back. SBRT also isn’t always effective all by itself. The HDR brachytherapy would add another level of protection against reoccurrence.

I think this would be usable for more than people with cribriform.