I'm sorry to hear about
your diagnosis. You seem calm and collected, which is a good thing. You didn't mention your stage, but if it was T1b or T2a, you'd still be classified as low risk. That means you have lots of options, and time to interview several doctors to find the treatment that suits you best. Your options include surgery, SBRT, HDR brachy (temporary implants), LDR brachy (seeds), IGRT/IMRT & proton (pencil beam & standard). I investigated all of them before making my decision, talking to about
6 doctors and spending 6 months on it (I'm worth it!).
Jim R said...
The current question I have is 'What are the implications of a high % of cancer found in a core?' I've got a 60% and a 70% as you can see from my signature. Intuitively you know that higher is worse, but why?
Statistically, it's an independent risk factor for recurrence. The bigger the tumor has grown already, the more likely it may be to extend beyond the prostate and possibly spread. There is controversy over what to label as an "insignificant" tumor. Some label it as less than 4 mm in length, so when it is more than 50% of a 1 cm core, it is over that.
You can use a nomogram like the one below to estimate your statistical risk. If you check the box on the bottom that says :"Would you like to enter additional details?" you can see how the cancerous core length affects your risk.Memorial Sloan Kettering Pre-Treatment Nomogram