Would appreciate talking to you ASAP. Thanks.Tom
Let me know how you would like to communicate further.
As to Proton vs other forms of radiation, I believe all are similar in cure rates and SE's. If I were choosing treatment today I think I'd still do radiation but seriously consider SBRT or Brachytherapy with low or high dose.
My urologist, who is an excellent surgeon, would not consider surgery for me until he knew the SV biopsy was negative. The risk of a spread to the SV when prostate cancer is nearby is fairly high and if post surgery pathology confirms the spread, then radiation is a likely follow-on procedure. Why put the patient through that? After my SV biopsy was negative, I was committed to Proton so I didn't pursue the surgery option anymore.
I should add too that even though my SV biopsy was negative, the RO who did the Proton doubled the target area on both SV's to 2 cm just as a precaution that a few cancer cells might be in the SV and missed by the biopsy. Keep in mind too that radiation will cover the entire prostate plus a small area around the prostate. Another reason for radiation as primary treatment in higher risk cases.
Age 69 DX 06/14 1 of 24 cores positive, 5% involved, (3+4), psa 6.2
2nd opinion from JH (3+3)
3rd opinion from UFPTI (3+4)
mpMRI Duke: 50% chance of SV spread
SV fusion biopsy Duke 10/2014 negative
proton at UFPTI 11/14-01/15
Post Edited (hrpufnstuf) : 12/10/2018 5:44:53 AM (GMT-7)