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Considering Tulsa Pro or Proton radiation (full gland)

Prostate Cancer | Last Active: 44 seconds ago | Replies (20)

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Jeff thanks.

For my biopsy last year I did send samples out to Dr Epstein and they came back very similar. Slight changes in % but no grade changes.

The < 5% of the grade 5 really could change my direction of treatment

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Replies to "Jeff thanks. For my biopsy last year I did send samples out to Dr Epstein and..."

@jaygk It would seem from your Gleason 5 (even though small) that TulsaPro is less than ideal.
Also consider HDR brachytherapy for that high grade cancer area combined with
either proton/photon radiation therapy.
The HDR really delivers a killing dose to the G5 and the rest can be taken care of with either IMRT or SBRT as per your RO. Just my non medical opinion,
Phil