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My husband was diagnosed with Prostate cancer! They say its aggressive with a gleason of 9 (4/5) His treatment plan has just been discussed with his oncologist and it will be Brachy therapy and 4 1/2 weeks of radiation! He also wants him to do Hormone therapy which he is having a hard time with it! Has anyone done the therapies without doing the hormone therapy!
Replies to "My husband was diagnosed with Prostate cancer! They say its aggressive with a gleason of 9..."
Hello from Cape Cod. Wishing you the best. I started visiting with Docs here. BUT moved on to Mass General Hosp Cancer in Boston - 70 miles away. I'm 77 with intermediate 3+4 . Just finished SBRT - 5 seasons, each a day apart.
Highly recommend you consult at a major cancer center. My treatment was with very latest modern equipment. Not available everywhere . Don't know if it applies to your 4+5. I had one hormone shot, good for 3 months. Will get one more for a total of 6 months. Not feeling bad from shot. Don't know if I am just lucky. I am active - walk 4 miles or so, several times a week. Believe that helps. Recommend you look at pcri.org
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The 2023 version of NCCN Evidence Blocks, which is what oncologists go by, recommends for primary radiation treatment of high risk and very high risk (your husband) prostate cancer:
EBRT + ADT (1.5 - 3 yrs); OR
EBRT + Brachytherapy + ADT (1 - 3 yrs); OR
EBRT + ADT (2 yrs) + Abiraterone (Very High Risk Only)
This is based on a life expectancy of 5+ years irrespective of PCa.
Also, this presentation, though a bit dated, provides an excellent overview of what duration of ADT is best for different risk scenarios.
Welp, the site won't let me post a link due to just having joined. You could search youtube for a presentation titled: Duration of Androgen Deprivation Therapy in Prostate Cancer #ADT #ProstateCancer #Urology by Anthony V D'Amico, MD, Harvard Medical School