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Considering Tulsa Pro or Proton radiation (full gland)
Prostate Cancer | Last Active: 18 hours ago | Replies (101)Comment receiving replies
So I had my consultation st University of Cincinnati and they stated no real difference between proton and photon. Side effects.
They recommend the 28 Session IMRT with the T guided Trubeam. I stated I want the space gel and gold markers. They also do the 5 sessions. They have done thousands of these. This would be in conjunction with Elligard 18-24 mo
I am for my decipher results for the Gleason 3+5(< 5%
Of the 5). And going to send biopsy samples for second opinion.
If the decipher comes back low they would shorten the Elligard to 6 mo.
If the repeat pathology report shows no grade 5 then no Elligard
I really want to avoid urinary issues and ED ( only been married 5 years). Although I know the Elligard will cause that anyway regardless of the treatment type.
I am all over the place. Planned on Tulsa…they didn’t want to do full gland with grade 5. Probably a good choice.
Planned on proton but they stated not really necessary as no real difference.
My questions:
1) trubeam with space gel and gold markers a solid plan?
2) 28 sessions vs 5 for lower side effects?
2)should still consider surgery?
3) I really hesitate taking the ADT…. Or I could shorten to 6
Months which Dr said is the most critical to take it. Too risky?? I just had rotator cuff
Surgery last year and finally back
In shape. Hate to lose it.
Replies to "So I had my consultation st University of Cincinnati and they stated no real difference between..."
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@jaygk
1. Sounds good
2. The 28th sessions are IMRT The five sessions are SBRT. I’ve actually heard from many people that have had both and there doesn’t seem to be much difference in side effects between the two. If you were having 38 sessions of IMRT, maybe the side effects would be less than five sessions of SBRT. It’s hard to really say for sure. I’ve heard of similar results.
3. If you must get ADT, tell them you want Orgovyx. It has a lot fewer side effects and Your testosterone can come back quicker. Base the amount of ADT on what the results of your tests show. If you are a Gleason five longer ADT is necessary. Same with a high decipher score. Recent tasks have shown longer treatment results in longer life If you have aggressive cancer.
The second 2. Should you have surgery? You don’t mention how old you are. The younger you are the longer it might allow you to survive. Wait for the results of your 2nd biopsy evaluation and decipher. If they both come in high, you need to be careful, If you are young and in your 60s or less, you may have a longer remission with surgery. If all the tests come in low, then radiation makes more sense.