Treatrment Decision Time

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New Member

Date Joined Apr 2008
Total Posts : 1
   Posted 4/10/2008 1:10 PM (GMT -6)   
I am 74 and a 6 year survivor of lung cancer and feel dam great.I an very active and a ranked tennis player in my age group.

Mt prostate biopsy was a gleason 3+3=6 a psa of 4.9, 1/2 half of 12 cores has 75% cancer all on right side.

After a meeting at Mass General with my urologist/surgeon a radiologist and a oncologist,radiation was suggested as best option,but not seeds due to volume of cancer.

I am leaning for proton beam, due to many good testimonials that I have read,but I have these questions.

I heard that the proton beam cannot be aligned as accurately as IMRT,that the effect of neutrons are unknown and proton beam has a higher risk for rectal toxicity.

Any help in making my decision is most appreciated.


Veteran Member

Date Joined Nov 2006
Total Posts : 1464
   Posted 4/10/2008 4:52 PM (GMT -6)   
Hey Peter,

Welcome to the forum although none of us wanted to come here. I am not an expert on radiation as I chose surgery. Look for pcdave's thread on proton. He has done a great job on explaining how it works and the effects he had.

Look at the second line from the top of the page for bluebirds index. That will guide you around this site.

Good luck and please stay with us...

Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."

Regular Member

Date Joined Sep 2006
Total Posts : 211
   Posted 4/10/2008 5:38 PM (GMT -6)   

I have not heard the negative views on Proton treatment you mentioned.

The protonbob site has lots of information from people who have been to Loma Linda.

The main reason that Proton isn't often suggested is that many are not familiar with it, largely because it has not been readily available to most people.

Regular Member

Date Joined Jan 2008
Total Posts : 338
   Posted 4/10/2008 6:07 PM (GMT -6)   
I am awaiting treat at the U of Florida Proton Center in Jacksonville.
Everything that I have read indicates just the opposite of what you post.
The best to you and keep us informed.
Retired USAF Richard & Debbie on The Shores of Toledo Bend Lake Louisiana
Neg Bios 1997 & 2000 PSA within considered normal range
11/06 PSA 1.9 PSA 11/07 was 4.9 PSA 12/07 was 7.7 MDA 2/12/08 3.3 On Proscar so shud be doubled
Biospy 1/10/08 Gleason 10, Stage T1C  8 of 12 samples positive all Less Than 5% 
Bone scan 1/17/08 hot spot on ribs, CT shows rib enjury CT CHest 1/30/08 Clear
M.D. Anderson 2/12/08 Gleason 9 - CT Abdomin & Pelvis Clear Recommended Hormone&Radiation
2/19/08 Dr Fagin, Austin, TX did not recommend surgery based on medical history
2/22/08 Contacted U of Florida Proton Therapy Institute - Appt 3/13/08 
3/24/08 PET Scan await results - 4/1/08 Prostascint Scan await results
Preliminary appt UFPTI for 3 day workup 4/14/08 or 4/21/08 depending on when last Scan available
Turn Stumbling Blocks into Steping Stones and Keep Smiling

Veteran Member

Date Joined Apr 2008
Total Posts : 1132
   Posted 4/10/2008 6:08 PM (GMT -6)   
i me my doctor today for my treatment options (psa 3.82, gleason 3+4). the doctor was against seeds and recommended surgery? i am meeting an oncologist to discuss radiation treatment. the doctor still recommended surgery but wanted me to meet with oncologist so i can make my decision.
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