← Return to Newly diagnosed stage 2. Trying to decide on a treatment plan.

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@mpersonne They say when younger and good health surgery is often the best treatment. But I've read around 50% of men that have RP end up needing radiation anyway. I'm older but after much research seeing HDR brachytherapy, 23-25 IMRT radiation sessions and maybe ADT gives localized prostate cancer patients a 90%+ "proven" 10 yr success "cure" rate that took surgery off the table for me. Wishing you the best.

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@copyman
If your cancer is isolated to the prostate, and you are older then five sessions of SBRT radiation can give you many years undetectable, frequently good for 10 years. IMRT plus brachytherapy Is also a good solution, but may be more than you need.

You don’t mention your Gleason score, That is pretty important when it comes to making decisions. Getting a decipher score is also a good way to find out what your chance of a reoccurrence is. If you have a high Gleason score than ADT is sort of essential if you have radiation.

Were any of these things found in the biopsy intraductal, ductal, large cribriform, Seminal vesicle invasion, EPE or ECE. (Extraprostatic extensions extra capsular extensions). They can make the cancer much more aggressive.