First choice.....was wondering

[Guest guest]

This kind of posting always makes me

wonder how people come to their decisions.

It is often said by men who chose surgery

that they did that because they knew they could have radiation treatment if the

surgery failed. That’s a fair enough view BUT…..if you

believe that radiation will succeed (as is implied in this scenario) where

surgery fails, then surely radiation MUST be your first choice?

There is a similar scenario with men who

decline to have radiation on the grounds that they can’t have surgery if

the radiation fails. Again the implication is that surgery will ‘cure’

them if radiation doesn’t, so why not have the surgery first and cut out

the potential damage by radiation?

All the best

Terry Herbert

in Melbourne Australia

Diagnosed ‘96: Age 54: Stage T2b: PSA 7.2: Gleason

3+3=6: No treatment. June '04: TURP. Jun '07 PSA 35.0

My site is at www.prostatecancerwatchfulwaiting.co.za

It is a tragedy of the world that no one

knows what he doesn’t know, and the less a man knows, the more sure he is

that he knows everything. Joyce Carey

From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of ncsailors

Sent: Monday, 25 June 2007 8:46 AM

To: ProstateCancerSupport

Subject:

Re: wondering

Maybe someone has thought thru, or researched it - but

what

PROCEDURES or TREATMENTS must be done first, in order for a 2nd

backup 2nd procedure to be allowed to be considered in the

distant future?

From some of the responses, by experienced people on this

forum - it looks like certain treatments are such, that they

should only be done FIRST or only SECOND?

The idea that the prostate gland becomes " sticky " or non-normal

after seeding, and perhaps EBRT - is a new one to me? If this

is so - why not have robotic to begin with, and get it over!?

Fred, ...... need to make a decision by later fall 2007.

(1 5% sample out of 12, glea = 6, psa = 6.8, and bone

scan/x-ray body scan were negative 2/2007. Under Lupron

& Casodex hormonal-mitigation meds now - to shrink gland)

>

> if you have seeds implanted or any other procedure except surgery

>

> and if it does not go well or cancer progresses, can you elect

to have prostate removed at a later date

>

>

> vito

>

>

>

> ---------------------------------

> You snooze, you lose. Get messages ASAP with AutoCheck

> in the all-new Yahoo! Mail Beta.

>

[Guest guest]

One of the books, "Prostate Cancer for Dummies", explains why radiation treatment methods may be chosen over surgery. The primary determinant is the medical condition of the patient with respect to the risk of surgery, and possible fear of surgery, and desire to minimize initial recovery downtime that surgery usually entails.

With respect to side effects, assuming good skills on part of the surgeon, the initial risks are higher in terms of ED and urinary control problems, but these usually will resolve themselves almost completely, whereas, there is less inititial side effects with radiation treatments, but risk of these developing and becoming permanent long term.

It is obviously too late for me, but I believe that developing theraputic vaccine therapy will eventually become the preferred treatment method in that is has the promise of killing the cancer while leaving the prostate intact.

Louis. . .

[ProstateCancerSupp ort] Re: wondering

Maybe someone has thought thru, or researched it - but whatPROCEDURES or TREATMENTS must be done first, in order for a 2ndbackup 2nd procedure to be allowed to be considered in thedistant future?From some of the responses, by experienced people on thisforum - it looks like certain treatments are such, that theyshould only be done FIRST or only SECOND? The idea that the prostate gland becomes "sticky" or non-normalafter seeding, and perhaps EBRT - is a new one to me? If thisis so - why not have robotic to begin with, and get it over!?Fred, ...... need to make a decision by later fall 2007.(1 5% sample out of 12, glea = 6, psa = 6.8, and bonescan/x-ray body scan were negative 2/2007. Under Lupron & Casodex hormonal-mitigation meds now - to shrink gland)>> if you have seeds implanted or any other procedure except surgery> > and if it does not go well or cancer progresses, can you elect to have prostate removed at a later date> > > vito> > > > ------------ --------- --------- ---> You snooze, you lose. Get messages ASAP with AutoCheck> in the all-new Yahoo! Mail Beta.>

[Guest guest]

I've always wondered that if a man has surgery, the prostate is

completely removed, the PSA reading starts rising again indicating a

return of the cancer, how do you find the tumor to use radiation? My

path. report indicated a tumor about .4cm in size, pretty much a

freckle, how would a similiar securring tumor be found hidden

somewhere in the body? I'm just not so sure that the radiation after

surgery deal is all that promising. And with a near 30% chance of

recurrance over a ten year period that's something to think about.

Too much to think about for me sometimes.

>

> This kind of posting always makes me wonder how people come to their

> decisions.

>

>

>

> It is often said by men who chose surgery that they did that

because they

> knew they could have radiation treatment if the surgery failed.

That's a

> fair enough view BUT...if you believe that radiation will succeed

(as is

> implied in this scenario) where surgery fails, then surely

radiation MUST be

> your first choice?

[Guest guest]

The theory is that the most likely place

for any tumour is in the prostate bed immediately adjacent to the position that

the gland occupied before it was removed, since that is the normal ‘route’

taken by a tumour as it proceeds. That being the case, radiating the immediate

vicinity of the site will hit any such early stage escapees.

I have seen some cases where the prostate

bed is biopsied if PSA starts rising after surgery to establish if there are any

identifiable adenocarcinoma cells.

Of course if the escaped cells have moved

beyond the prostate bed, the radiation will not be much use and ADT (Androgen

Deprivation Therapy) might be a better option.

All the best

Terry Herbert

in Melbourne Australia

Diagnosed ‘96: Age 54: Stage T2b: PSA 7.2: Gleason

3+3=6: No treatment. June '04: TURP. Jun '07 PSA 35.0

My site is at www.prostatecancerwatchfulwaiting.co.za

It is a tragedy of the world that no one

knows what he doesn’t know, and the less a man knows, the more sure he is

that he knows everything. Joyce Carey

From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of mccartney_7

Sent: Monday, 25 June 2007 2:56 PM

To: ProstateCancerSupport

Subject:

Re: First choice.....was wondering

I've always wondered that if a man has surgery, the

prostate is

completely removed, the PSA reading starts rising again indicating a

return of the cancer, how do you find the tumor to use radiation? My

path. report indicated a tumor about .4cm in size, pretty much a

freckle, how would a similiar securring tumor be found hidden

somewhere in the body? I'm just not so sure that the radiation after

surgery deal is all that promising. And with a near 30% chance of

recurrance over a ten year period that's something to think about.

Too much to think about for me sometimes.

>

> This kind of posting always makes me wonder how people come to their

> decisions.

>

>

>

> It is often said by men who chose surgery that they did that

because they

> knew they could have radiation treatment if the surgery failed.

That's a

> fair enough view BUT...if you believe that radiation will succeed

(as is

> implied in this scenario) where surgery fails, then surely

radiation MUST be

> your first choice?