Dx stage 4 prostate CA out of the blue ~ 4mo ago.
MRI showed thoracic epidural cord compression but no symptoms (I thought-but that's another story) .
Strongly urged to have electron beam therapy (EBT) immediately & delay chemo until later.
I refused thanks to advice of radiotherapist at Scripps proton beam therapy (PBT).
Repeat MRI between after 3rd cycle showed NO evidence of cord compression.
At this point I got consult w/neurosurgeon d/t my concern ~ what happens to my thoracic spine after big radiotherapy (and osteoporosis d/t ADT) such as e.g.,serious compression fractures ?
Possibilities presented to me:
1. spine stabilisation immediately BEFORE radiotherapy (better wound healing)
2. spine stabilisation soon AFTER radiotherapy (poorer wound healing)
Neurosurgeon wants to defer final recommendation until repeat MRI one month after completion of all 6 cycles chemo.
I have now completed chemo w/o problems.
I would like to hear what others have done who have experienced this not uncommon scenario