Vitals: PIRADS 5, Gleason 3+4 = 7, 1.8 cm lesion right anterior abutting capsule, involvement in 5 out of 12 cores, perineurial invasion is identified in two of the 12 cores, . Decipher Score 0.49. Overall intermediate risk group 2.
I haven't posted in a while as I've been waiting for appointments to occur. I have finally met with two top surgeons (Laudone, Tewari) and one radiation oncologist (Zelefsky) at Memorial Sloan-Kettering & Mount Sinai, both in New York City.
As can be expected, treatment recommendations by surgeons speak highly of surgical outcomes, while the Radiation Oncologist speaks equally high of his offerings (5 treatments of MSK Percise-SBRT, no Hormones or additional drugs at this stage).
Almost all the data and clinical study results I’ve read via this site show the outcomes are basically the same in terms of reoccurrence. This has made my treatment decision quite difficult, as compelling arguments have been made by all, especially the RO (Example: ”Why would you have an invasive procedure when you could have a non invasive procedure if both offer the same success rate?”)
I have a favor to ask of this community. Could those of you who are post radiation (SBRT preferred), treated for similar diagnosis, share your outcomes and how you are feeling, whether your radiation is six months out or six years. I have friends and family who have been through RP, so I think I’ve received sufficient first-hand feedback, but I don’t really know anybody who’s been through radiation with my similar prognosis. Sharing your quality of life experiences would be extremely helpful.
My surgery is scheduled for September 22, so if I’m going to switch to radiation I have to change course pretty soon.
Thank you all!