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Prostate Cancer
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hrpufnstuf
Veteran Member
Joined : Mar 2012
Posts : 644
Posted 9/17/2014 6:50 PM (GMT -5)
.Post Deleted by OP
Post Edited (hrpufnstuf) : 9/25/2014 10:51:34 AM (GMT-6)
Nomar Lupron 4 Me
Veteran Member
Joined : Apr 2013
Posts : 1922
Posted 9/17/2014 7:06 PM (GMT -5)
I don't understand.
If you live in NC why not stay with Duke since the FL guy said Duke's radiologist was better than his.
Sounds like you decided on Proton Therapy before you had been fully diagnosed.
BTW, my experience with Univ of Florida & Shands as a member of their mestastatic disease program has been very good. I go to Gainesville which is much closer to where I live than Jacksonville is.
As a G9 (4+5) with 3 micro lymph nodes contained in pelvic area, I am not a candidate for Proton though and have elected to have SBRT radiation at UCLA.
LupronJim
Break60
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Joined : Jun 2013
Posts : 1870
Posted 9/18/2014 4:09 PM (GMT -5)
I'm not sure I understand the delay in having a biopsy to at least confirm the Gleason score. If you have SVI, you're high risk . This is the reason why I elected RP: to find out the extent of my cancer and get it out of my body to the extent possible. I was Gleason 9 and knew I would probably need ADT and SRT. As a Gleason 6 or 7 it's not so clear in you're case, but it seems odd that a gl6 or 7 would have SVI but as you say, your PCa may have just started to move beyond the capsule and is still curable with some type of radiation. Your decision depends as usual on how much you are willing to endure in terms of recovery and SEs from the various treatment modalities. I never went the mpMRI route just the trans rectal bx which got the Gleason score right with only six samples, but of course did not disclose my pathology. Only RP can do this!
Bob
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