Update on prognosis for my husband wi... - Advanced Prostate...

Advanced Prostate Cancer

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Update on prognosis for my husband with stage 4 A cancer.

SherryKahn profile image
18 Replies

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.

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SherryKahn profile image
SherryKahn
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18 Replies
Tall_Allen profile image
Tall_Allen

Who will you be meeting with at MSK? I can recommend Sean McBride there. He doesn't do brachytherapy, but he can refer you.

SherryKahn profile image
SherryKahn in reply toTall_Allen

James Eastman.

j-o-h-n profile image
j-o-h-n in reply toSherryKahn

Dr. Eastham at MSKCC is a very good "surgeon". Notice the word surgeon.

Good Luck, Good Health and Good Humor.

j-o-h-n

j-o-h-n profile image
j-o-h-n in reply toSherryKahn

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

Tall_Allen profile image
Tall_Allen in reply toSherryKahn

Eastman will undoubtedly recommend surgery because he is a surgeon.Try to see Sean McBride or Marisa Kollmeier, as john recommends, if you can.

maley2711 profile image
maley2711

Radiation for 2 weeks and five times a day???? That is a new protocol.....are you sure? Is he metastatic....you mention 4A?

SherryKahn profile image
SherryKahn in reply tomaley2711

this was not definite just suggested. It has gone into the pelvic area nodules and seminal veins.

maley2711 profile image
maley2711 in reply toSherryKahn

I have never seen any other person here mentioning 2 weeks, and 5 times per day...new one on me!!!

Worked_the_World profile image
Worked_the_World in reply tomaley2711

I think you meant five treatments spread over two weeks. That is the regimen I just finished in my SBRT.

Pappysfight24 profile image
Pappysfight24 in reply toWorked_the_World

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.

Pappysfight24 profile image
Pappysfight24 in reply toPappysfight24

Sorry I didn't realize she said five times a day....

LDC2024 profile image
LDC2024 in reply toSherryKahn

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.

SherryKahn profile image
SherryKahn in reply tomaley2711

Sorry 5 times a day.

NewGame profile image
NewGame

May I ask who you’re seeing at Weill Cornell? I see Scott Tagawa there.

vintage42 profile image
vintage42

Should "two weeks 5 times a day" be two weeks 5 days a week? I think that would be usual for SBRT radiation.

SherryKahn profile image
SherryKahn in reply tovintage42

Yes

WisdomSeeking profile image
WisdomSeeking

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

prostatecancer.news/2021/01...

Pappysfight24 profile image
Pappysfight24

I think you did right that wrong.You wrote five times a day. Did you mean once a day for 2 weeks

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