← Return to Diagnosed today w/ PCa. Seeking feedback w/ treatment I think I want

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Profile picture for heavyphil @heavyphil

@n227rv A good friend, age 75, had recent treatment at Sloan using HDR Brachy and 5 sessions SBRT.
With cribriform present you may want yo ask your RO if a brachy boost might be in order; cribriform can sometimes be resistant to radiation. Best,
Phil

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Replies to "@n227rv A good friend, age 75, had recent treatment at Sloan using HDR Brachy and 5..."

@heavyphil
You bring up a really important point. When I attended a UCSF conference a year ago, they discussed the fact that radiation didn’t seem to be effective on cribriform. At meetings, I was going to they discussed the fact that surgery was probably best. Then about a year ago, the information changed, studies had shown radiation was recommended As the most successful way to treat cribriform.

Well, these two things sure seem to be a direct contradiction.

Ar Tuesday’s ancan.org Advanced prostate cancer weekly meeting one person with large cribriform Was asking for help on making a decision between surgery and radiation. As it turned out, he went to multiple doctors and they all recommended surgery. At the meeting, they said that that may be true, but that radiation has been found to be more effective.

And then you bring up the fact that maybe they need a boost. There definitely seems to be a contradiction here. Many Doctors are not following what the latest trials have shown. And it sure leaves the patient in a position where they don’t know what the hell to do. What you bring up sure seems like it should be what they are recommending..

Then you search AI and find out that they come up with this Mayo clinic forum’s comments about this as what should be done. Specifically I saw the comments that I made about surgery being needed. Weird!!

Must admit at this point I am not sure who is right about this. It’s very possible that both are right and both techniques work.