What to ask the radiation oncologist about prostate cancer?

Posted by surftohealth88 @surftohealth88, May 7, 2025

Tomorrow we have zoom call with radiation oncologist that was recommended to us by prostate surgeon. Our meeting with surgeon was somewhat confusing since we did not expect to be told that my husband's case is not "urgent" and that we should talk to radiologist and as well to a doctor that does focal treatments. We were convinced that RP was the best approach, as we still think that RP is a way to go with cruciform and IDC but since we were told that we should have consultations with radiology, we agreed. I can say with whole honesty that we were like two deer caught in headlight after we were told that there is no rush, and we both failed to react with NEW questions and stared at "old ones" on our paper in confusion. So, in preparation for tomorrow's appointment I am asking for help with possible questions - any suggestion and advise is welcome. Thanks so much in advance < 3

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I too want to go to our radiation consult with important questions. I asked ChatGP with a prompt specific to metastasized prostate cancer. It came up with two pages of questions , many of which may be answered by the radiation oncologist but I will be ready if they are not.

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Hi, @chippydoo, let me elaborate on what I wrote earlier. My Dr was very specific about the amount of radiation for the 28 sessions, which is low enough that there was no need to protect the rectum. If I were getting the 5 sessions, it would be mandatory.

When I talk with the radiation specialist, I'll reask the question. Thanks for pointing that out to me.

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Profile picture for baldeagle535 @baldeagle535

From one of our members in the local support group; He went through 29 radiation treatments over 5 years ago. He said fatigue during the last 10 treatments was the biggest side effect. His PSA is undetectable and he lives a very normal life now. I also plan to do the same treatment after consultation with the radiation oncologist this week.

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@baldeagle535 , how did the consult with the radiation oncologist go? What type of radiation will you have and how many rounds?

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Profile picture for Colleen Young, Connect Director @colleenyoung

@baldeagle535 , how did the consult with the radiation oncologist go? What type of radiation will you have and how many rounds?

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@colleenyoung
The meeting with the RO went well; he found that the PC did not have enough PSMA to be effectively treated with Pluvicto. 10 sessions of Radiation with SBRT is planned. This will begin end of April, first of May time frame.

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