My husband was recently seen at Stanford and UCSF for progressive PC.
Stanford says not to radiate his T-11 spine met.
UCSF's overall recommendations were to continue HT and that the persistently detectable and rising PSA post RP may be attributed to the T-11 mets alone, or this site plus possibly other microscopic sites of the disease spread that are otherwise too small to see on sensitive scans.
Radiation to prostate and pelvis was not favored given the potential for short and long term side effects and lack of evidence for persistant prostate or pelvic disease.
Radiation to T11 was sugested to potentially allow more time off HT and delay disease progression with limiting side effects from treatment.
I got a call today from UCSF sugessting any radiation Oncologist could perform this therapy.
Question is: I am confused as I was under the impression that special equiptment was needed.
Has anyone had expeirence with this situation? If so to what outcome?
2010 PSA's 6.3, 4.7 5.6
open Oct -2011
Gleason 4+3 left side Gleason 3+3 right side
11 lymp/ no mets.
Perineural invasion present
Path staging (pt1): pT2c: bilateral disease
PSA Post -Op
2-12Casodex Lupron PSA .03,
CT, BONE, MRI Neg. for Mets.
Sodium Floride showed 1 met.,spine T-11