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Decision time SBRT, IMRT or surgery

Posted by harvey33 @harvey33, Jul 28 8:31am

diagnosed 1 1/2 months ago biopsy shows grade group 3 with 8 of the 15 being positive and Gleason of 7. I have been offered SBRT, IMRT, and surgery. I am leaning toward the SBRT. I am just very confused with all the information I have read about the short and long term side effects. I also have an abdominal aortic aneurysm that last measured was not very large and mild COPD and am 69 years old in decent health otherwise.

I need to go forward with this decision just looking for real life experience with all 3 choices.

Thanks in advance

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harvey33 | @harvey33 | 3 days ago
In reply to @johnnyz "@harvey33 I have heard lots of good things about SBRT. I myself am still not sure..." + (show)
Profile picture for johnnyz @johnnyz

@harvey33 I have heard lots of good things about SBRT. I myself am still not sure if I should take the radiation route or RARP...it seems like the radiation SBRT treatment is a somewhat shortish journey and you will be good as new in no time!

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@johnnyz
Well the Good as New is questionable but is the route I have chosen. I’m 69 and the surgery just had more side effect possibility’s and the minus of having surgery if cancer comes back. Good luck on your decisions and I have been away for a while but have been busy with business and research.

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tbgb50 | @tbgb50 | 2 days ago
In reply to @johnnyz "@harvey33 I have heard lots of good things about SBRT. I myself am still not sure..." + (show)
Profile picture for johnnyz @johnnyz

@harvey33 I have heard lots of good things about SBRT. I myself am still not sure if I should take the radiation route or RARP...it seems like the radiation SBRT treatment is a somewhat shortish journey and you will be good as new in no time!

Jump to this post

@johnnyz
These decisions are tough and I wouldn't presume to make a recommendstion . In my case, I opted for IMRT rather than SBRT. Briefly considered surgery but I'm in my late 70s, so decided against it.

Doctors gave me the usual info that the results are similar. I did not want the number of treatments to influence my decision.

So Gleason 9, barely intermediate Decipher score (.58) and high PSA (25) led me to my decision. While my PSMA PET scan was clean, no test is 100% accurate. IMRT gives some radiation to surrounding areas. Also on Lupron.

I finished two weeks ago. I don't assume I will be 'good as new'. Will see if my first PSA test in January looks good. I was told it will take a year to judge the success of the treatments. So you get to sweat PSA tests every 3 months for a year or two.

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roseat | @roseat | 1 day ago
In reply to @tbgb50 "@johnnyz These decisions are tough and I wouldn't presume to make a recommendstion . In my..." + (show)
Profile picture for tbgb50 @tbgb50

@johnnyz
These decisions are tough and I wouldn't presume to make a recommendstion . In my case, I opted for IMRT rather than SBRT. Briefly considered surgery but I'm in my late 70s, so decided against it.

Doctors gave me the usual info that the results are similar. I did not want the number of treatments to influence my decision.

So Gleason 9, barely intermediate Decipher score (.58) and high PSA (25) led me to my decision. While my PSMA PET scan was clean, no test is 100% accurate. IMRT gives some radiation to surrounding areas. Also on Lupron.

I finished two weeks ago. I don't assume I will be 'good as new'. Will see if my first PSA test in January looks good. I was told it will take a year to judge the success of the treatments. So you get to sweat PSA tests every 3 months for a year or two.

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@tbgb50 I was Gleason 9 had ADT andIMRT. I am still having PSA tests every 5 months six years later. PSA on most recent test was undetectable.

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tbgb50 | @tbgb50 | 20 hours ago
In reply to @roseat "@tbgb50 I was Gleason 9 had ADT andIMRT. I am still having PSA tests every 5..." + (show)
Profile picture for roseat @roseat

@tbgb50 I was Gleason 9 had ADT andIMRT. I am still having PSA tests every 5 months six years later. PSA on most recent test was undetectable.

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@roseat
Congratulations! I have my post radiation treatment appointment with the RO on Monday. It's nice to hear you a great results as I transition from worrying about the treatments to worrying about their success.

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harvey33 | @harvey33 | 17 hours ago

I had my markers and spacer procedure, and mold and set up mri done. My first treatment will be the 12th of Nov.

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ezupcic | @ezupcic | 17 hours ago
In reply to @harvey33 "I had my markers and spacer procedure, and mold and set up mri done. My first..." + (show)
Profile picture for harvey33 @harvey33

I had my markers and spacer procedure, and mold and set up mri done. My first treatment will be the 12th of Nov.

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@harvey33 Are you on a 6 month course of ADT? Is it Orgovyx? Are you doing anything to mitigate the side effects?

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roseat | @roseat | 3 hours ago
In reply to @tbgb50 "@roseat Congratulations! I have my post radiation treatment appointment with the RO on Monday. It's nice..." + (show)
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@roseat
Congratulations! I have my post radiation treatment appointment with the RO on Monday. It's nice to hear you a great results as I transition from worrying about the treatments to worrying about their success.

Jump to this post

@tbgb50 I hope you have good news from RO and your next PSA test result.

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