Perhaps you should look at combining brachytherapy (seeds) and IGRT.. If its already outside the capsule and you are thinking radiation, you might as well do the Full Monty, take the heavy dose that only the combined treatment can provide (150 Gr) and hope for the best..The side effects for this are no worse than EBRT radiation alone if done properly..There is no reason to go through surgery and then have to endure radiation treatment too...
You and I are standing in exactly the same place..
I put your numbers in the Han table and you have a 94% chance of having an undetectable PSA after 10 years with surgery...You have a 73% chance your cancer is organ confined..But don't take my word for it, read the Han and Partin tables yourself!
Age today: 68. Married, 6', 215 pounds, active, no health issues.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA at age 66 9.0 DRE "normal", BPH, Finesteride. (Proscar)
PSA at age 67 4.5 DRE "normal" second biopsy, negative.
PSA at age 67.5 5.6, DRE "normal" U-doc worried..
PSA at age 68, 7.0, third 12 core biopsy positive for cancer in 4 cores, 3 cores Gleason 6, one core Gleason 9. Finesteride discontinued, still no urinary symptoms, never had any..From age 55 to 65 I had no health insurance.
I have a date with the robo surgeon on Sept 3 but I'm keeping my options
open. I'm also looking at seeds combined with IGRT which seems to be having good results with high-risk patients..
Post Edited (Fairwind) : 8/22/2010 8:24:07 PM (GMT-6)