Posted 4/10/2013 5:00 AM (GMT -7)
I have been away for a while consulting with doctors about treatment options, etc. At this point, I have decided upon treatment and am currently on total of six months HT. IMRT is to start in June 2013. I actually wanted Brachy and IMRT but doctors including my URO think that is overkill and not needed. My only concern is no other tests have been done to look at the whole prostate, however, none of my doctors recommend any. Here are doctors I consulted with and their comments:
Dr. Ronald Davis, URO, Wake Forest Baptist - early stage PCa. First thought Brachytherapy would be good option; finally agreed with Dr. Lee below.
Dr. Robert Lee , Radiation Oncologist, Duke Cancer Center - early stage cancer. Does not do Brachytherapy for GL 4+3 even though small. Recommends IMRT to treat prostate and outside area and agrees with 6 months HT. Recommends Dr. Yvonne Mack, Radiation Oncologist, Boone, NC do IMRT. They trained together. Said he would be fine for her to do his father's if he lived in Boone. She did my wife's IMRT, and I would not have to travel to Duke.
Dr. Judd Moul , Surgeon (RRP), Duke Cancer Center - stage 1 PCa. Any of the three options should be effective although, in his opinion, surgery extends life up to 20 years in studies he has seen and you get a pathology report after surgery. Says men my age may opt for radiation that may have less side effects, and with my case, I should be okay. Agrees with 6-monts HT.
Dr. Bart Frizzell , Radiation Oncologist, Wake Forest Baptist - stage 1 PCa. Any of the three options should be effective. Potentially less side effects with radiation. Recommends Dr. Mack for IMRT.
I had 1-month Eligard shot 2/27/13, and 4-month Lupron on 3/29/13. To start IMRT in June and then final 1-month Lupron.
So, that's where I am for now. Have been on Mediterranean type diet for 2-3 months and no dairy, and nearly no sugar. Have gone from 167lbs. to 154lbs.
Best to all,
8/1/06 PSA 1.1
2/26/08 PSA 2.1 (exercise bike that morning)
7/30/08 PSA 1.3
9/19/09 PSA 1.5
10/28/10 PSA 2.2
5/4/11 PSA 2.3
1/10/13 PSA 6.6
1/28/13 PSA 5.3
(Was using 1mg finasteride a few years)
Dx'd 2/27/13, 2 of 12 pos., GL6 (3+3) 1.0% 0.5mm, and GL7 (4+3) 10% 5.5mm
DRE neg., 39gm, 1-month Eilgard, 5 mos. Lupron
LMRT scheduled June 2013