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Finished 28 Proton Therapies

Prostate Cancer | Last Active: Feb 17 11:28am | Replies (55)
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@leenielsen

Wondering your age? I am deciding on proton or rp.
5 positive cores all Gleason 8’s. Pet scan shows no spread to nodes or SV. Any advice?

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Replies to "Wondering your age? I am deciding on proton or rp. 5 positive cores all Gleason 8’s...."
leenielsen | @leenielsen | Dec 26, 2023

I’m 65…

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saxman911 | @saxman911 | Dec 26, 2023

I am currently 71 years old to be 72 in April 2024. with the Gleason score 8 and above I would definitely go for proton beam therapy (with the Hydro-gel space oar) especially because of the amount of cores that you have are positive. Do not go on active surveillance you're taking a big risk. I only had one CORE positive with a Gleason score of 3+4 = 7 and my urologist said to me let's nip this in the bud. jmho- good luck

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jc76 | @jc76 | Dec 26, 2023

@leenielsen
I am 76. I was diagnosed when I was 75.

Gleason 8 is pretty high. Were you give Intermediate or High risk? I assume the rp means radicalprostrate surgery is that correct?

The PSMA (Pet Scan) showing no spread to nodes or SV is very good news. You do not mention your age. If I were a young man I might have more options to consider but I chose proton radiation.

If you are older and do not have an spread if were me would do the proton. Removing the prostrate is a way to remove the prostrate cancer and so is radiation. One the surgery has a lot more side affects and life changes.

So a personal choice you need to make. Have you researched the options you were given? Go over the pros and cons, side affects, short and long term recovery and that may help you decide. Do you also consider having a second opinion?

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