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Number of radiation treatments for prostate cancer

Gassman profile image

I’m new here and recently diagnosed for prostate cancer. Focused on radiation therapy as likely treatment option. What are pros and cons of number of treatments when considering 5 treatments over two weeks versus 25 treatments over five weeks?

8 Replies

Convenience and cost.

I recently was treated with 5 SBRTs at UTSouthwestern, a teaching hospital in Dallas.When first diagnosed with Gleason 7, 4-3 I was offered 40 treatments of radiation by a private Urology group(no other option). When I fired them and went to UTSW, my professional RO stated that with her she offers 20 or 5 treatments and not 40. I asked her the difference and she stated 40 treatments were all about profit and not needed. She explained her patients can choose, but in my case since I was relatively healthy she suggested 5, patients that have certain health issues she recommends 20.

Healthcare is a business, my RO taught at the medical school, did research and practiced medicine, definitely a full schedule, but could also give me seemingly 100% unbiased medical advice not swayed by profit to her or some private medical group.

Gassman profile image
Gassman in reply to 1Ubspaine

Continued thanks for your thoughts and help this week vis phone and blog!

According to studies I have seen (I did not choose RT for myself) are early side-effects more pronounced with 5 treatment whereas late toxicity is similar in both.

1Ubspaine profile image
1Ubspaine in reply to Gemlin_

My RO said .02% differential inside effects of 5 vs 20, I took those odds.

Mine is 26 treatments plus ADT

Mine was VMAT-RT 3Gy X 20 fx on a G(4+3=7)Grade 3. ADT for 6months.75 yo with a lot of health problems.

I did 25 radiation treatments and it was a real grind. I think if I had been offered the option of only 5 treatments giving the same results, I would have jumped on it.

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