Of course we never know about
a cure until we pass away from something else
but I know what you mean. Regarding surgery, two points:
(1) Surgery is a very good option if
your PCa is prostate-confined. Imaging like CT can give you and your doc a general idea -- if growth outside the prostate is seen on imaging you have one answer. However, if it appears to be confined on imaging, you won't have confirmation of that fact until after the surgery! The Catch-22. Even if your PCa is not confined, surgery may remove it all.
(2) When PCa is
confined to the prostate, it has been shown that there is no correlation with the number of lesions, their
location, or the total tumor burden and outcomes, such as BCR. This is reflected in the latest (8th) edition of the TNM Staging Guide, which no longer subdivides the pT2 (prostate-confined) stage into a, b, and c according to lesion
location -- it was decided that this subdivision has no clinical utility and several studies have since confirmed the validity of this decision.
I'll let others answer your questions on primary RT.
Post Edited (DjinTonic) : 2/2/2020 10:24:07 AM (GMT-7)