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Considering Tulsa Pro or Proton radiation (full gland)

Prostate Cancer | Last Active: 46 minutes ago | Replies (15)

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@jeffmarc Jeff. Thank you very much. I am 66 years old. My PSA is 5.99. And I am sending my 3+5 = 8 biopsy sample out for another decipher test.

The only reason I even considered Tulsa pro is due to my less than 5% of grade group 5. It will be interesting to see what my decipher is on this sample and whether that impacts my decision on continuing with Tulsa pro consult or just dropping it.

I’m leaning towards the university of Cincinnati 28 session of proton therapy using a Varian cyclotron proton instrument with a gantry.
I’m considering a 28 sessions of proton versus five session SPRT or 28 session I MRT to keep bleed over of the rectum at a minimum. Especially with my diverticulosis and polyps.

Of course I will use the SpaceOar gel.

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Replies to "@jeffmarc Jeff. Thank you very much. I am 66 years old. My PSA is 5.99. And..."

@jaygk
You might want to send out your biopsy for a second opinion.

This doctor is a real expert in the field of second opinions and while he does charge $500 after the biopsy is complete you can talk to him on the phone and go over all the issues involved. He’s very responsive.

Dr. Epstein biopsy
https://advanceduropathology.com