LDR, HDR or SBRT

[superfly19]

Age 54. 4+3 but low volume. Limited to right apex region only. Considering SBRT, LDR or HDR as monotherapy or brachy boost with External Beam. Low risk Decipher. Thoughts?

[Tall_Allen]

All good choices if you have experienced specialists who do those treatments. Brachy boost has a high risk of late-term urinary side effects, but excellent cure rates.

[EdinBmore]

Check out Prostate Cancer Foundation for comparison of treatments, short and long term side effects, outcomes.

Good luck to you,

EdinBaltimore

[David826]

Hi there. I was also 4+3 (localized)…was treated with 15 sessions of EBRT and 1 session of HDR boost along with 4-month regimen of ADT (Lupron). Therapy was in Jan-Feb 2021, first PSA follow-up in May was .32 (down from 17 prior to treatment). Radiation side effects were minimal; Lupron is a different story. ADT technically ended on May 5… looking forward to increases in T. By the way, I'm 69. The best to you!

[superfly19 in reply to David826]

Thank you where were you treated?

[David826 in reply to superfly19]

Wilmot Cancer Institute, Highland Hospital (University of Rochester system) Rochester, NY. Radiation oncologist is Dr. Hong Zhang (terrific with a great team); HDR boost done by my urologist/surgeon Dr. David Gentile

[Tall_Allen]

Thanks! You may want to edit out your phone number - there are robots that search for that sort of thing. I'll reply by PM.