High Dose Rate Brachytherapy

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grouchytx
Regular Member


Date Joined Oct 2009
Total Posts : 32
   Posted 11/5/2009 7:45 PM (GMT -6)   
I finished #17 of 28 radiation treatments today.  Afterward I met with the doc and told him again how pleased I am with the minimal side effects I have experienced.  He said that I have been very fortunate.
 
We then talked about what the next step will be.  He indicated that rather than doing the seed implants, he will probably want to do the High Dose Rate Brachytherapy.
 
My question......does anyone here have experience with this approach?
 
Thanks
Bill
Age: 63
 
Gleason: 8 (5+3) Biopsys ranged from 90% to 100%
Refused surgery and hormone therapy. Doctor really made an argument for benefits of hormone therapy, I could not accept the consequences.
 
Just finished 17 of 28 daily radiation treatments.  Will then get seed implants.
 
PSA: 13
 
Let the chips fall where they may.


grouchytx
Regular Member


Date Joined Oct 2009
Total Posts : 32
   Posted 11/5/2009 7:46 PM (GMT -6)   
edit....21 of 28 completed today.
Age: 63
 
Gleason: 8 (5+3) Biopsys ranged from 90% to 100%
Refused surgery and hormone therapy. Doctor really made an argument for benefits of hormone therapy, I could not accept the consequences.
 
Just finished 17 of 28 daily radiation treatments.  Will then get seed implants.
 
PSA: 13
 
Let the chips fall where they may.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 11/5/2009 7:56 PM (GMT -6)   
Bill, glad you are getting through your RT without too bad a side effects, it is that way with many people. You need to talk to Bro. Tudock and JohnT in particular about the seeding.

Good luck to you.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 11/5/2009 9:48 PM (GMT -6)   
Bill,
I had seed implants along with IMRT. I don't know that much about HDR Brachy, only that the procedure takes a little longer. I think either would be effective. have no side affects from the treatments and would definately go that way again. Be sure you get a doctor that is experienced with either procedure as experience and skill will definately affect outcome. With a Gleason 5 it's no wonder that your doctor recommended HT; please keep an open mind knowing that you have a good chance of having a reoccurrance and HT will be the normal next step.
Good luck with your treatments.
JohnT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


PK
New Member


Date Joined Feb 2009
Total Posts : 6
   Posted 11/6/2009 7:50 AM (GMT -6)   
I had HDR in May and June, 2009. Had no side affects from the treatments and would definitely go that way again.  I also under went 28 radiation treatments. My Uro & Rad Onc worked together on the treatment.   There were two different HDRs, two weeks apart. On the second, they looked at the prostate again and redosed.  I would be at the Clinic at 6:30 in the morning and home by 1:00. Resumed regular routine the next day. I have not seen anyone else here with HDR. If you want more details contact me, email is on member page.

Age 60 *2004 - trace of blood in urine- DRE normal.  Wentto urologist -no blood in urine since * PSA 7/04 3.8, 8/05 2.9, 8/06 3.2, 8/07 6.9 (started Uroxotral), 2/08 5.8, 11/08 5.2, *Biopsy 11/08- 1 core of 12 positive - local opinion unclear, second opinion from Utah, diagnosed Gleason score of 6 /T1c. *Next PSA 2/9 4.2,  Decided on HDR Seeds with 28 prior external radiation treatments.  Had implants on May 29 & again on June 9.                                


grouchytx
Regular Member


Date Joined Oct 2009
Total Posts : 32
   Posted 11/8/2009 10:33 AM (GMT -6)   
PK. Thanks, I will send an email.
Age: 63
 
Gleason: 8 (5+3) Biopsys ranged from 90% to 100%
Refused surgery and hormone therapy. Doctor really made an argument for benefits of hormone therapy, I could not accept the consequences.
 
Just finished 17 of 28 daily radiation treatments.  Will then get seed implants.
 
PSA: 13
 
Let the chips fall where they may.

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