49er and fiancé,
We've had some spirited debates here about
proton therapy. Almost everyone agrees that they are wonderful machines for some purposes -- particularly for treating small tumors in hard-to-reach places surrounded by other tissues you don't want to radiate. For treating a whole prostate bed, where the idea is to radiate a fairly large swath of tissue because you don't know exactly where the cancer could be it is a bit like cooking a turkey in a toaster oven. It can be done but there isn't a lot of research that shows it works any better than other more common radiation technologies such as IMRT or IGRT (x-rays).
There's no reason for this to worry you (protons work fine) as long as your insurance is OK with paying for them. Sometimes insurance carriers get balky and prefer something else that works about
as well on prostate cancer and is cheaper.
I think that I mentioned that I suspect you will be looking at both HT and RT. Often that will mean two different doctors -- a medical oncologist to monitor your hormone therapy and an radiation oncologist to do the radiation treatment. I see both at my cancer center. I will probably be seeing less of my radiation guy now -- his work is done and I only see him occasionally to make sure I am not having any late-breaking side effects (which, mostly I am not). I'll continue to see me medical oncologist for a longer time since he will be overseeing the remainder of my 2 years of ADT and will montior my PSA to watch for signs of recurrence.
Here are a couple of threads where we've talked about
Slow PSA rise 2007-2012: 1.4=>8
4 bxs 2010-2012:
1)neg (some inflammation),
3)positive 1 of 14 GS6(3+3) 3-4%, 2nd opinion GS7(3+4)
Mild Pre-op ED
DaVinci RRP 6/14/12. left nerve spared
Path: pT3a pN0 R1 GS9(4+5) Pos margins on rt
Start 24 mo ADT3 7/26/12
Adjuvant IMRT 66.6 Gy 10/17/12 - 12/13/12
Leaky but better, Trimix, VEDForum Moderator - Not a Medical Professional