Your PSA velocity is rather high so postponing treatment for very long might not be a wise choice.. Your CAT, MRI and bone scans can be clean but that's no guarantee the PC is still 100% contained in the capsule..The scans seldom show anything until the cancer is well-advanced..Gleason 6 however usually stays in the barn for quite a while..The doctors all promote what they are selling and the members of this forum tend to promote what worked for them...With G-6, all the treatments seem to work equally well.. With PC, it's the skill of the doctor you choose, not the particular treatment you choose, the determines the outcome..
I chose surgery mainly because I am high-risk (G-9) and should it fail (it did fail) I could fall back on radiation for a second chance. If you start with radiation, it better work, because there is no second chance...When you are fighting for your life, the side-effects you must endure become a minor issue..But G-6 and G-9 are two completely different things...Knowing what I know now (hindsight is always 20-20) I would have chosen seeds plus IGRT which probably offers the highest cure rate of all the PC treatments. But in my case, there were major insurance issues and travel issues which could not be ignored...
Proton beam has not proven itself to be any more effective on PC than IGRT.. They claim reduced side effects..Radiation treatment is very expensive. Proton treatment is even MORE expensive and insurance companies sometimes balk..You might have to travel to get it, and for 40 treatments, that's a major added cost..The latest and greatest photon (X-ray) machines (Varian Novalis RapidArc) can deliver a finely controlled beam that pretty much avoids the side-effects endured by patients on the older machines..But even so, that 10year old equipment did a pretty good job and is still being used today..
PSA age 55: 3.5, DRE normal.
age 58: 4.5
64: 7.5, DRE "Abnormal"
65: 8.5, " normal", biopsy, 12 core, negative...
66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
67 4.5 DRE "normal"
68 7.0 3rd biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT. 2-15-'11 PSA 0.0
Post Edited (Fairwind) : 4/1/2011 11:50:31 AM (GMT-6)