My doctor explained that it is very low risk but recommended radiation, old style 8 wks. The practice owns the radiation / cancer care facility.
I LOL'd when I read he recommended a 40 treatment course of IMRT at a center owned by the practice. That kind of referral has come under a lot of criticism in recent years. It is a cash cow for the practice because they bill the insurance company per treatment. Even after two major clinical trials found that fewer treatments worked just as well as more treatments, most IMRT ROs are not budging - are we surprised?
If while watching PSA levels every 6 months, another biopsy in 12 months then MRI's down the road
It's the other way around with the MRI. They use a specific kind, called a multiparametric MRI to detect suspicious areas for biopsy. MSKCC has a very good radiologist who does an excellent job in reading those kinds of MRI. They have a very good AS program there.
1 core positive at 6%
This also makes you a good candidate for focal ablation therapy. Jonathan Coleman at MSKCC is one of the experts at this kind of therapy (there are others in NYC too), so you may want to set up a meeting with him as well while you are there.
You have many more options to explore and with your Dx, you have plenty of time to do it. I think PC support groups are great for guys on AS because they provide support for sticking with it. Friends and family, who have their own baggage based on other cancers, may put pressure on you to treat. In the end it is you who has to live with the decision.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 9 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