Connect
← Return to Proton Beam Therapy - Comments on adding ADT? Yes or No?
Discussion
Proton Beam Therapy - Comments on adding ADT? Yes or No?
Prostate Cancer | Last Active: Oct 14, 2021 | Replies (25)Comment receiving replies
Gleason grade 4+3 with cancer contained in prostate. PSA level was 8.6 for 74 year old at date of cancer diagnosis. Decipher score of 48 and PSMA pet scan confirmed no spread. Decided against four months of hormone therapy due to potential side effects both physical and mental. Decision was related to quality of life in last remaining years rather than quantity of life. Proton therapy completed nine months ago and PSA level continues to decline in line with expectations. Prior to decision, read extensively about pros and cons of hormone therapy and made decision I felt was best for me. Obviously, time will tell.
Replies to "Gleason grade 4+3 with cancer contained in prostate. PSA level was 8.6 for 74 year old..."
Connect
I am in the same boat as you. I am 73 and a half and had a 30-core trans perineal biopsy and 5 were from the area of the lesion were positive. Some were 3-3 some were 3-4 and two were 4-3. PSA 2.9 and the PSMA says it was all contained to the prostate. RO wants 6 months of ADT and from what I have read it makes almost no difference in men over 70. So, I have been mulling over what to do. Radiation for sure but 5 or 28 sessions and maybe a 3-month shot rather than 6 months just to hedge my bet.