My brother and I attended my father's RT consult today. My father is 79 years old, with PSA of 9, 7 of 12 cores positive with 70%-80% PTI in one lobe and < 5% in other lobe, GS 7 (3+4), bone scan clear. He is in good health and doctors have stated no reason to think he will not live into his 90's.
My brother and I peppered the Rad Onc with questions (2 hour consult). We were impressed with the Dr and cancer facility. Rad Onc with 17.5 years of prostate experience and Mayo residency.
The recommendation is 43 fractions of IMRT with IGRT. Markers to be placed in prostate. One six month shot of Lupron (need to check with Uro about Casodex) and then RT.
Based on the book and HW forum resources, this seemed to be the best approach and we all were satisfied moving forward with the Rad Onc, cancer facility and RT treatment plan. I appreciate those that have given me guidance and certainly would appreciate any further feedback.
Age 50 Dx 06/11
PSA 06/09 1.69; 08/10 2.94; 10/10 2.71; 02/11 2.63 & 2.96
DRE negative; Biopsy 06/11: 9 of 12 cores pos
GS 6 (3 + 3), PNI -, Clincal T1c
DaVinci surgery on 08/01/11; Cath out 08/09/11
Post-Op Path: T2cN0Mx, GS 7 (4 + 3), 20% TI, tumor 9mm; EPE -; SVI -; LNI -; PNI -; Margins -; Vol 39 gm
Incont-Dry at 5 wks; ED: 80%+ good (both nerves spared)
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