New to this:

[trregan]

Here are my details:

71 y.o. white guy > except for some mechanical issues, I'm cancer free bone-wise and organ-wise.

Biopsy Results

Gleason Score = 4+3 and 3+3

% cores POS - 4

Prostate Vol:41

PSA density: 0.34

Clinical Stage cT1c > Intermediate Unfavorable

Thank you all for the kind words, solid direction and great resources.

Talking to RO soon and reading tons of materials.

[Tall_Allen]

Thanks for the details. You may also be interested in this site:

healthunlocked.com/prostate...

For unfavorable intermediate risk, the therapies that have the best results are:

• brachy boost therapy (external beam with a brachytherapy boost to the prostate)

• high dose rate brachytherapy monotherapy

• SBRT monotherapy

You have to talk to experts in each of those, not a "generic" RO. Where are you located?

Surgery doesn't have as good results for your risk category.

Open questions are the duration of ADT required with it and whether pelvic lymph nodes would be required to be treated as well.

[trregan in reply to Tall_Allen]

I'm in SF ...wow. thanks for this.

[trregan in reply to Tall_Allen]

I'm also with Kaiser

[Tall_Allen in reply to trregan]

I think Kaiser North has those. I'm sure UCSF does.

[doc1947g]

**********CORRECTION**********

2021/04/12

73 y.o. with Lymphoma LNH and many Acute Chronic Diseases.

That gave me a Severe Physical Limitation. 2 walks of 0.75 km with a walker, then my Pulmonary Emphesyma Gold Grade 3 kick in and I have to rest and catch my breath.

1994 Had a work accident followed by Discoidectomy L4-L5 and Permanent Acute Lumbalgy, on Fentanyl 87 mcg/hr patches DISCONTINUED and recently on CBD and THC.

Hydromorphone 2mg/q4hr and Hydromorphone Continous 20mg/Q12hrs.

2004 Chronic Renal Insufficency Grade 3.

My PSA went from 6.76µg/L to 22.4µg/L in 6 weeks.

Prostate went from 24.7cc to 45.86cc.

I had 6 cores out of 12 positive on the right side at 85% G4, then on a Special pre-RT Scan they found multiple tumors on both sides.

I am in the Ufavorable Intermediate Risk group with a G(4+3=7) Grade 3.

I got an injection of Eligard 45mg/24weeks on April 4th 2020 that was screw-up. And Casodex 50mg X 30 days.

So I have been on Lupron Depot 22.5mg/12weeks X 2 from May 2020 to Nov 2020 and on

VMAT-RT 3Gy X 20Fx in June 2020 and my

PSA = <0.01µg/L and my

Testosterone = 6.6nmol/L or 1.9036µg/L.

2020/10/01 Pulmonary Emphesyma Gold Grade 3.

2020/11/30 Severe Depression on Sertraline 200 mg and R/V with special psychologist for patient with 2 cancers and multiple Chonic Health Problems.