For guys with T3 prostate cancer, evidence is mounting that whether you choose surgery, or not, Hormone Therapy and Radiation Therapy combined is the best follow up treatment option for this stage. Now the arguments are strong for and against this method. But there findings are no surprise to me as I have been talking about this since I found out I had T3. Dr. Gerry Chodak discusses the point below.
Note: I was first treated with surgery. And when I found out that I was pT3b then at first it was a study at Stanford that convinced me I need to add RT adjuvantly. It was study RTOG 9413 that showed me that HT enhanced RT performance. For more information, talk to your oncologist!
Age 46 (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, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (September 17 '08): <0.1 ~ Undetectable!
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