All of the doctors are reflecting the contraversy that surrounds your uncles stage. So none are wrong and none can say they are right 100%. I know that sounds like nothing you want to hear but it is what it is. Here comes Tony's opinion again so if you can grin and bear it:
The Urologist: I believe that a urologist should stick to things like plumbing and infections. Since that is 90% of what they do, it is their specialty. Saying that no local treatment will work is blindly saying that is 100% fact. Well it isn't. And even if is a small chance that local treatment along with HT will help, small is big.
The radiologist and the Penn Oncologist: They are giving you uncle a shot at that small chance. The only thing that would have me hesitant is the declaration that HT will be a lifetime treatment is again premature. There is still a chance that the radiation alone can cure this thing. but adding HT now is prudent given your uncles stage.
The Fox oncologist: IHT or intermittent HT is what you should strive for. If he can't get there so be it, but any doctor suggesting a lifetime of HT should try it themselves. I am 100% certain that once they start it, they will be looking forward to the day they stop it.
Feels like "Let's Make a Deal" doesn't it? The door behind Carol Merrill, and a shot at the Big Deal. Well my two cents worth: I agree most with the Fox oncologist.
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09.
Years in Remission (3/23/07): 1
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Prostate Cancer Forum Moderator
Post Edited (TC-LasVegas) : 4/27/2008 8:46:26 AM (GMT-6)