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havhav avatar

Low dose brachytherapy long term side effect risk

Prostate Cancer | Last Active: Apr 28 9:05am | Replies (21)

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Profile picture for heavyphil @heavyphil

@majortee I am certainly no expert but brachytherapy is usually given as a ‘boost’ targeting a single area of aggressive disease in a sea of less aggressive cells.
The idea is to really hit that area hard (with an high dose isotope that usually only stays in for less than an hour) and then treat the test of the gland with IMRT or SBRT.
LDR brachytherapy is usually a stand alone treatment: seeds implanted and left in the gland permanently to kill the cancer…period. No other radiation involved.
However, you seem to have had BOTH stand alone treatments -multiple sessions of IMRT - and seeds permanently implanted. You need to know how much total radiation you received (as opposed to what was planned for in your treatment) to ascertain whether or not you received too much radiation.
I’m not saying you did, but have you spoken to your RO about his/her treatment? Perhaps a consult with a different RO at another hospital, who can request your medical record, will get to the bottom of your dilemma. Best,
Phil

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Replies to "@majortee I am certainly no expert but brachytherapy is usually given as a ‘boost’ targeting a..."

@heavyphil

I just looked into HDR Brachy and was disqualified due to pubic arch interference, but the idea of beam boosts are places that aren't very good at brachy is my understanding. Some do it that way, but skilled brachy docs and their team should not need beam radiation. So the key is finding that skilled doc that has a full team in place too.

@havhav It wouldn't be any question in my mind brachy over surgery anyday. People I know who had surgery (non discussion group people) did not do well, yes you can find some who do ok on a discussion group, but some people win the lottery too.

@heavyphil Thank you for your reply. i researched my proposed treatment before deciding. The 25 days of IMRT is a lower dose than if I were only recieving IMRT. I will snd you a video called Royal Flush which explains my treatments. It will be a week or so because I am deep in the woods without good bandwidth. Again, thank you for your interesting reply.