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Proton Beam Therapy - Comments on adding ADT? Yes or No?

Prostate Cancer | Last Active: Oct 14, 2021 | Replies (25)
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@mikewo

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.

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bandit11 | @bandit11 | Feb 23, 2023

Hard decision to make on ADT. My fathers family has quite a bit of dementia which was a major factor for me. Also, a consulting radiologist with national credentials estimated that ADT , in MY specific circumstances would improve life expectancy by 2 to 5 percent. Treating radiologist was much stronger in recommending ADT. Learn all you can, make a decision and don’t second guess yourself! Best of luck.

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