Help With Decision

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User

Posted 13 Jan 2021 at 20:05

Just my experience..when diagnosed I was 52 and final histology showed localised T2c (3+4) all negative margins. I was advised against brachytherapy by my urologist on the basis of perceived increased risk further down the line in terms of secondary primaries with patients <60yrs.

User

Posted 13 Jan 2021 at 20:34

Hi Philip,

I had brachy and am pleased with it. I think one of your questions is "can you have stronger RT if the first treatment fails?" I'm not 100% sure of the answer, but apparently there is a life time limit to how much radiation certain bits of your body are ever supposed to get, so as a general rule once you have RT to your prostate your up to that limit, and you shouldn't have any more to that area of the body. I have never found any reference to what the limit is in greys, nor can I see the logic in leaving someone with a cancer that will kill them, rather than zapping them with even more x-rays and taking them above the lifetime limit, which might also kill them, but might not.

BTW you might want to start your own thread on here, introduce yourself with your diagnosis, that way your questions and "story" all ends up in one place and you can refer back to it, a bit like a diary.

Dave

User

Posted 13 Jan 2021 at 20:47

I'm no expert but Brachytherapy not the gold standard for all cases.

I expect my cancer was too extensive. My initial diagnosis from MRI and then targeted biopsy was cancer on left side apex. As it turns out I had positive margins at the bladder base, and I think prostate bead.

As has been mentioned in other answers. There is a life time limit on RT. So can't have repeats on same area.

There are focal therapies that I don't know anything about. I have read these been repeated on different areas.

Jim

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