I met with the Cornell team and the oncologist was against surgery and now they are suggesting radiation for two weeks 5 times a day by MRI guided machine and ADT for two years.
Have a consult with Memorial Sloane Kettering next week then will make our decision. Feeling confused as want hubby to make the best decision that will give him full recovery from this disease.
Who will you be meeting with at MSK? I can recommend Sean McBride there. He doesn't do brachytherapy, but he can refer you.
James Eastman.
Dr. Eastham at MSKCC is a very good "surgeon". Notice the word surgeon.
Good Luck, Good Health and Good Humor.
j-o-h-n
Actually Dr. Sean McBride is listed under Brachytherapy Chief, External Beam Radiotherapy: Manhattan (and so is Dr. Marisa A. Kollmeier Interim Chief, Brachytherapy Service; Program Director, Brachytherapy Fellowship).
Good Luck, Good Health and Good Humor.
j-o-h-n
Eastman will undoubtedly recommend surgery because he is a surgeon.Try to see Sean McBride or Marisa Kollmeier, as john recommends, if you can.
Radiation for 2 weeks and five times a day???? That is a new protocol.....are you sure? Is he metastatic....you mention 4A?
this was not definite just suggested. It has gone into the pelvic area nodules and seminal veins.
I have never seen any other person here mentioning 2 weeks, and 5 times per day...new one on me!!!
I think you meant five treatments spread over two weeks. That is the regimen I just finished in my SBRT.
We saw a radiology oncologist... That was recommended by the medical oncologist.Who said he would do nothing... Other than continue on adt... He was going to try zometa which is for the bones... My husband is staged for with spread on one rib... And one lymph node in the pelvic area... The radiology oncologist... Recommended twenty five radiation treatments five days a week 45 weeks.... So it is a thing.
Sorry I didn't realize she said five times a day....
My dad has stage 4 PC that has spread to spine. He starts radiation next week, but it is 5 treatments to prostate followed by 2 treatments to spine. 7 total, split out over nearly three weeks (Monday/wednesday/friday etc.). He’s also started hormone therapy 1.5 months ago which has dramatically brought down his PSA.
Sorry 5 times a day.
May I ask who you’re seeing at Weill Cornell? I see Scott Tagawa there.
Should "two weeks 5 times a day" be two weeks 5 days a week? I think that would be usual for SBRT radiation.
Yes
If it is a SBRT, then I think you mean 5 treatments over 2 weeks.
Information about SBRT for high risk patients from Tall Allen's blog:
Brief, intense radiation and hormone therapy for very high risk prostate cancer
prostatecancer.news/2021/06...
SBRT for High-Risk Patients
I think you did right that wrong.You wrote five times a day. Did you mean once a day for 2 weeks
Shout out for my stage 4, post-chemo, Gleason 9 road warrior husband of mine
Stage 4 advanced prostate cancer
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