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Trying to decide on treatment for prostate cancer
Prostate Cancer | Last Active: 3 days ago | Replies (38)Comment receiving replies
@mlabus3
I was presented with the same options for a very similar diagnosis - 28 sessions of EBRT given at a local clinic and after a second opinion at a center of excellence 5 sessions of SBRT. The RO recommending the SBRT said he could give me 28 sessions but the outcomes would be the same. I had SpaceOAR inserted along with fiducials and 5 months post-treatment I'm feeling fine. I would recommend finding a center that has the equipment to perform SBRT, go there and get a second opinion. I went to MSK but could have gone to UVA.
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@cadaddy interesting. There is a growing sentiment in the field about using the 5 session SBRT. vs the 35 or 39 session IMRT. Lots of mixed reviews. Was this for salvage? did you do both the pelvic floor and the lymph nodes? Ive read the larger the area to be radiated, the more you want IMRT. SBRT good for more specific targets. Boy, i would love the 5 sesssion plan.
Id love a contact and MSK. i tried them for a second opinion, but they wouldnt take me until my PSA was .2! Waiting that long might kill me. there must a high risk group at MSK, havent been able to find them