Lots of folks say that it's a myth that there's no salvage treatment after radiation (including on this thread). What are the typical courses of action?
Salvage focal radiation in the form of SBRT, LDR brachy or HDR brachy, if
the recurrence is local, which is uncommon after radiation. Focal ablation (e.g., cryo) is also possible. Salvage surgery is possible but there are only a few experts worldwide at this - like everything with surgery, experience makes a huge difference. Because local recurrence is uncommon, not many surgeons have such experience.
[quote="Mary]Also, for someone in the Gleason 7 range, what type of radiation would be the best? Some combo? LDR? HDR?SBRT, LDR or HDR are all good choices and can be safely done as monotherapy for his favorable intermediate risk PC. While at MSKCC, you may also want to make an appointment with Dr. Coleman to talk about
focal ablation as primary therapy. In NYC also, you can meet with Alan Katz to discuss SBRT.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 7 year results
treated 10/2010 at age 57 at UCLA
•PSA since treatment:
1/11:3.9 5/11:3.0 8/11:3.7 5/12:1.2 9/12:1.3 5/13:0.4 6/14:0.5
• SEs of treatment:
after 2 wks: mild urinary & rectal - last 1 wk
1 yr after: mild urinary