Additional opinions from my Radiation Oncologist

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25354
   Posted 7/13/2009 12:48 PM (GMT -7)   
While I had the good doctor with me, I did get to ask him a few additional questions that might help others here with their decisions.  He is just one doctor, not a god, and doesn't claim to have all the answers, just sharing his opinions.
 
On seeding, he and his partners do a lot of them, he said it is only effective if the candidate is just squeaky clean perfect.  He said you got to have a naturally normal or even smaller than normal prostate gland to start with, no more than a Gleason 6, low % of cancer in cores.  With that said, he said they have had some good results.  He said that if you have to be on HT for several weeks or months to shrink your prostate to the min. size, the treatment is not usually effective, his words, its like forcing a square into a round hole.
 
On HIFU, he thinks its a dangeorus method, and doesn't believe in all his experience that it will ever be approved by the FDA, despite current testing, etc.  He doesn't believe that American healthcare providers would ever pay for it regardless.  He felt the men that do it any way and go out of the country are entirely gambling their lives at their own risk.  Just his opinion.
 
David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 5/9 .10, 6/9 .11, July 13 - meet with radiation oncologist
 
 


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 7/13/2009 2:40 PM (GMT -7)   
Ditto on the brachy advice from my radiation guy. I was all set to go that way, but Gleason 9 excluded me,
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.  Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25354
   Posted 7/13/2009 5:19 PM (GMT -7)   
I am not saying I either agree or disagree with this doctor, just repeating an official medical reply to the questions.
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 5/9 .10, 6/9 .11, July 13 - meet with radiation oncologist
 
 

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