What did your doctor say about
the "tumor in skeletal muscle"? It sounds like it was in the muscle bed near the left apex - muscle tissue was associated with a tumor in the biopsy core? I don't understand how it could not
indicate EPE - was it discontinuous in the biopsy core?
That seems to rule out surgery, doesn't it? How can surgery remove a tumor that has already invaded in the muscle bed? EPE rules out active surveillance as well, I think. It sounds like a job for radiation only.
Urologists usually don't know a whole lot about
radiation - you have to talk to experts - radiation oncologists. And to make the job even harder for you, you have to talk to radiation oncologists who are specialists in each kind of radiation.
I'm guessing that SBRT, seeds, or HDR brachy would all work for you as monotherapies, but you have to talk to the specialists. Where are you? We might be able to recommend some.
I don't think that conventional IGRT?IMRT or protons are a good idea - they are expensive, take way too much time, have no better cancer control, and no better side effect profile than the others I mentioned.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 7 yr onc. results
•SBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA
•PSA now: 0.2
No lasting urinary, rectal or sexual side effects, except loss of ejaculate