I had a 4 cm lesion on my prostate, with cancer also in my seminal vesicals, membranous urethra, and hilar lymph node (chest). They determined I was not a good surgery candidate. They started ADT, followed by chemotherapy as soon as they could get it coordinated (and had 6 courses 3 weeks apart). It took 60 days to get scanned, planning consults and scheduled before radion began. Twenty daily treatments to my pelvic region and 15 (concurrently) to my chest. These were separate treatments but done same day right after the pelvic treatments before I left the treatment room.

Mayo’s approach was to hit everything hard while the cancer is weakened by the other treatments. The mop up with the radiation to kill whatever is remaining.

They said they thought I would fully respond to this therapy even thou I was Gleason 9-10. A back up plan was to use second generation ADT and Lutecium (a new treatment, if needed).

An aquaintance went through the same treatments, started with stage 4 and PSA of 4300, many metastases, including to bones and some organs. He is doing the Lutecium now and is nearly clear.