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I’m 69yo with a 3+4=7 GS; is SBRT a good choice for treatment?

Posted by dekestet @dekestet, Mar 9 6:12pm

I’m 69yo with 3+4=7 GS. I’m waiting on my decipher score before making a treatment decision but strongly considering SBRT. Any thoughts/input?

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Profile picture for Jeff Marchi
Jeff Marchi | @jeffmarc | Mar 13 11:57am
In reply to @climateguy "Mack Roach is an internationally recognized authority on treatment planning for prostate cancer. He served as..." + (show)
Profile picture for climateguy @climateguy

Mack Roach is an internationally recognized authority on treatment planning for prostate cancer. He served as senior author for the guidelines for treatment planning by the American College of Radiology.

Dr. Roach explains that he prefers administering SBRT to his patients at this point in his career, in a recent interview hosted by P.C.R.I., especially for patients with low or intermediate risk localized PCa. He covers a few other topics as well.

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@climateguy
I know a few people that have been treated by Doctor Roach. My brother had it done two years ago at 77, Doing great now.

Rick Davis, who founded ancan.org Was treated by him 17 years ago and has been in remission since.

Lots of other people that have been pleased with the results from him.

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dekestet | @dekestet | Mar 13 2:47pm
In reply to @beachguy "To answer your question from my perspective...Yes, SBRT is a good choice. I was 67 Gleason..." + (show)
Profile picture for beachguy @beachguy

To answer your question from my perspective...Yes, SBRT is a good choice. I was 67 Gleason 3+4, PSA=9.3, MRI showed 4 positive lesions, biopsy confirmed this, my decipher=0.34, PMSA neg. Prostate 61cc
I had the Barrigel spacer placed one week before 5 rounds of SBRT one year ago on the Viewray MRIdian platform ( I did a lot of research of this platform and in my opinion it was the best choice for me, ). It was a excellent choice for me at the time, done at Thomas Jefferson. The team that treated me was nothing short of excellent. Very minor urinary issue after the 3rd treatment, but it cleared up rapidly within days. Some slight urgency of the bowel, but that also self resolved pretty quickly. I feel that right now I have no side effects at all, never a ED issue before or after treatments. I was scheduled to get a 2nd biopsy prior to me wanting treatment and I declined that and went right to SBRT, I did not want to risk another chance of the biopsy releasing cancerous cells again. At this point in my life I would not change what I did. My urologist at Hopkins explained how diet can cause prostate cancer as a very big contributing factor, since that was explained to me I have lost over 40lbs, by lowering caloric intake, but more importantly stop with the processed packaged foods, strength training and the weight has fallen off. Everyone is certainly different, this is just what I did at my choice.

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@beachguy Thanks for the informative and reassuring message. I’m especially glad to hear that your side effects have been minimal. I’m meeting with a new urologist next week because my initial one seemed biased towards surgery as the best/only choice. Good luck with the new diet and wellness.

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dekestet | @dekestet | Mar 13 2:54pm
In reply to @wwsmith "I agree with everyone about SBRT being a great choice. But remember, SBRT is high dose..." + (show)
Profile picture for wwsmith @wwsmith

I agree with everyone about SBRT being a great choice. But remember, SBRT is high dose radiation and about 18% of the population can't tolerate it well. You need to get a PROSTOX test to make sure that you are not in that 18%. See my bio for more info.

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@wwsmith Thanks for your message; no one has ever mentioned a Prostox. I’ll definitely check it out as a necessary test. The learning curve continues.

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drcopp | @drcopp | Mar 13 3:30pm

I am looking at either surgery or radiation with the new adaptive CT scanning. Will talk to the surgeon and the oncologist soon. I have a 4+4 with no cribriform structure, plus I have another area that is suspicious to be cancer, being 6 years into my monitoring program, at level 3 of 5, intermediate risk. No spread of the cancer so far.

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soli | @soli | Mar 14 11:04am

I agree it is essential to get a simple PROSTOX swab test before ruling in SBRT. In addition, if one has pre-existing severe, BPH related urinaty symptoms, it is important to discuss that with the radiation onclologists since I have heard from several of them that such patients are not ideal candidates for SBRT since the treatment is very likely to exacerbate such symptoms.

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