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Thread: Radiation Therapy is Inevitable - so why Wait?

  1. #31
    The question of inevitability isn't a helpful one. Better is: Do my current PSA level, my rate of PSA rise, my degree of confidence that a rise will continue, my adverse path findings, and the risk of my cancer to metastasize, taken together, say that it's now time to begin SRT? Another unhelpful question, IMO, is: Although it's too early to be certain SRT is now justified, I'm a pessimist, so why not?

    Last edited by DjinTonic; 07-12-2019 at 12:56 AM.

  2. #32
    Top User garyi's Avatar
    Join Date
    Apr 2017
    Quote Originally Posted by Michael F View Post
    Thanks, Michael...very kind, BUT not one F-4 in any of those low passes.
    72...LUTS for the past 7 years
    TURP 2/16,
    G3+4 discovered
    3T MRI 5/16
    MRI fusion guided biopsy 6/16
    14 cores; four G 3+3, one G3+4,
    CIPRO antibiotic = C. Diff infection 7/16
    Cured with Vanco for 14 days
    Second 3T MRI 1/17
    Worsened bulging of posterior capsule
    Oncotype DX GPS 3/17, LFP risk 63%, Likelihood of Low
    Grade Disease 81%, Likelihood of Organ Confined 80%
    RALP 7/13/17 Dr. Gonzaglo @ Univ of Miami
    G3+4 Confirmed, Organ confined
    pT2 pNO pMn/a Grade Group 2
    PSA 0.32 to .54 over 3 months
    DCFPyl PET & ercMRI Scans - 11/17
    A one inch tumor still in prostate bed = failed surgery
    All met scans clear
    SRT, 2ADT, IMGT 70.2 Gys @1.8 per, completed 5/18
    Radiation Procitis, and Ulcerative Colitis flaired after 20 years
    PSA <.006 9/18, .054 11/18, .070 12/18, .067 2/19, .078 5/19, .074 7/19, .081 9/19, .116 11/19
    We'll see....what is not known dwarfs what is thought to be fact


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