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Surgery or Radiation or Monitor: How do you choose?

Prostate Cancer | Last Active: Dec 15, 2022 | Replies (8)

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@web265

Are you getting an MRI scheduled to better locate the cancer within the prostate?

For me the decision was based on potential need for more treatment which is more common than I had originally thought. I went with surgery simply because I was advised by many that it allows for radiation later if it's needed, and sure enough, that's what happened.
(surveillance wasn't an option for me, the cancer was a little more advanced than yours.)

I was told that if you get the radiation first, and the cancer survives and starts growing again, having the surgery is a much dicier issue than if you start with surgery and move to radiation if necessary.

The decision of course is a very personal one, this was just my thought process.
Best of Luck to you!

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Replies to "Are you getting an MRI scheduled to better locate the cancer within the prostate? For me..."

That was exactly my thought process also. I was told my PCa has a 30% chance of recurrence in the next 15 years. I'm 60 yo and had RP robotically in August 2022. How long before you had the BCR? Thanks.

In 2017 robotic aborted so went 2018 with 40 sets of radiation and Zolodex
In 2021 it metastases in L2 which I had radiated and back on Zolodex
Today My Bone scan and CT scan show small growths in T10, T11 and left hip socket with 1" x 1 1/2" of metastasis in L1 lumbar My L2 was radiated almost 2 years ago and put back on Zolodex injections every 3 months which will continue
In Jan medical oncologist medicating me with 3 daily pills of Enzalutamide oral chemo for life and they may use radiation on L1 and other spinal metastases
The say good probability of 5 years and maybe more I'm 78 Prayers so important
Ideas welcome