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I think you ARE getting the best possible treatment.
I believe my 37 RT treaments were delivered with total accuracy. I had seminal vesicle and pelvic wall involvement, and like you was high risk....PSA 182, T4 tumour.
Of course, I also had hormone therapy, but all that ended after 30 months, and now, 20 weeks of no meds at all see me with a PSA of still less than 1.0 while my testosterone has risen well, now back in the normal range at 20.