This forum is for the discussion of anything to do with Prostate Cancer. There are only four rules:
No fundraisers, no commercials (although it is OK to recommend choices of treatment or medical people based on your personal research; invitations to participate in third-party surveys are also acceptable, provided there is no compensation to YANA);
No harvesting e-mail addresses for Spam;
No insults or flaming - be polite and respectful at all times and understand that there may be a variety of points of view, all of which may have some validity;
Opinions are OK, but please provide as much factual evidence as possible for any assertions that you are making
Failure to abide by these simple rules will result in the immediate and permanent suspension of your posting privileges.
Since this is an International Forum, please specify your location in your post.
I had 6 months of hormone therapy in conjunction with salvage radiation. The therapy consisted of 2 (3 month) Lupron treatments with some Casodex in the beginning of treatment. It has been 10 months since I started and my hot flashes are now abating. My Testosterone is also now at a normal level. My side effects were loss of libido, slightly foggy mind and the worst were the hot flashes. The studies I read indicated that hormone and radiation therapy used together is much more effective. By the way, my PSA was 0. Hope it stays that way.
You say ......He referred me to the grimm study on prostate cancer(poor choice of name for this doc), that is supposedly unbiased, showing this 2 or 3 prong radiation approach is superior to surgery for survival rates and less side effects for all.....
Dr Peter Grimm is well known in the cyberspace discussion groups. He and his partner Dr Blasko specialise in brachytherapy and have long held the view that the results from brachtherapy are superior to any other therapy. Together they have authored many studies to demonstrate this view, which is not universally shared. As you know, there are no definitive studies that demonstrate that brachytherapy, with or without adjuvant therapies, is superior to other therapies. Dr Grimm's site is Prostate Cancer Treatment Center (PCTC).
There is a Radiation Oncology group within a 2-3 hour drive that touts the latest in technology. How much of the following marketing is based on fact how much is hype?
"For more than 40 years the evolution of radiation delivery technologies has been based upon a single objective: maximize the dose to the tumor while minimizing the dose to surrounding normal tissue. Today the most advanced beam technology available is DART using all methods of 4D IG-IMRT and the Dattoli Cancer Center was the first facility in America to offer it to patients.
More patients with prostate cancer have been treated with DART at Dattoli Cancer Center than any other center in the world by fourfold. Moreover, DCC boasts having the most sophisticated technologies to achieve DART, providing every patient with a cutting edge experience.
DART may also referred to as "Smart Beam" technology because of its extraordinary ability to cast thousands of precisely targeted radiation "beamlets" or "microbeams,"on a 360-degree radius, not only into the prostate, plus a carefully delineated margin, but also in escalating doses directly into the tumor(-s) while de-escalating doses to the urethra. A unique treatment blueprint is mapped out in advance for each patient. With computer planning and three-dimensional imaging techniques, it is possible to more accurately deliver radiation to satisfy pre-defined dose specifications to the tumor while avoiding nearby healthy tissue. Thus, the risk of damaging the bowel, bladder, rectum and other organs is significantly reduced. At the same time, the cancer-killing dose of radiation is maximized on the designated target"