 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Prostate Cancer / October 2006Anyone has IMRT only and the results thus far?
My Uro says that IMRT is currently one of the best option besides RP, but he also suggested seed implants followed by IMRT. To those that opted for IMRT ONLY, how did you fare with it, and how long post RT are you now? Thanks. I have not decided one way or the other, just still trying to learn more. >My Uro says that IMRT is currently one of the best option besides RP, >but he also suggested seed implants followed by IMRT. To those that [quoted text clipped - 3 lines] >I have not decided one way or the other, just still trying to learn >more. I have IMRT experience only for my throat cancer just over three years ago, it was a complete success. But as for prostate cancer, perhaps this just published study Zelefsky MJ, Chan H, Hunt M, Yamada Y, Shippy AM, Amols H. Long-term outcome of high dose intensity modulated radiation therapy for patients with clinically localized prostate cancer. J Urol. 2006 Oct;176(4 Pt 1):1415-9. PMID: 16952647 [PubMed - in process] <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra ctPlus&list_uids=16952647> could shed some light. It is the largest study of men with prostate cancer treated with high-dose, intensity modulated radiation therapy (IMRT). The majority of patients remain alive with no evidence of disease after an average follow-up period of eight years. The 561 prostate cancer patients treated with IMRT at Memorial Sloan-Kettering Cancer Center were classified into prognostic risk groups. After an average of eight years, 89 percent of the men in the favorable risk group were disease-free and none of the men in any group developed secondary cancers as a result of the radiation therapy. This study is the first description of long-term outcomes for prostate cancer patients using IMRT. For comments about this study see the news article Long-term outcomes for prostate cancer show IMRT Curative: 89 percent disease-free 8 years later <http://www.eurekalert.org/pub_releases/2006-09/mscc-lof092706.php>  SignatureMatti Narkia >My Uro says that IMRT is currently one of the best option besides RP, >but he also suggested seed implants followed by IMRT. To those that [quoted text clipped - 3 lines] >I have not decided one way or the other, just still trying to learn >more. IMRT only at age 52, 3 years post treatment, psa low and stable, zero urinary incontinence, medium ED very successfully treatable with Cialis. If you have confined tumor, Gleason 6 or less, and lowish psa, my personal opinion backed up with my own life on the line is that RP is overkill, and the older you are the greater the overkill. cmdrdata: You got some very good advice from your original post to not rely on any anecdotal data. Heed that advice. All responses on this NG from individuals reporting their results are anecdotal. David > cmdrdata: > [quoted text clipped - 3 lines] > > David Unfortunately, more often cited is the uncertainty about relying on statistical reports. The fact of the matter is, one must make decisions about this disease without any hard and fast evidence that will apply to any unique case. So, one should gather ALL evidence, add to each the weight he feels appropriate, and make a decision. "I survived six years with RRP" is not a good reason to get RRP. It does, however, let the member know that it is possible to survive six years with RRP. Furthermore, "I survived six years, still have a fulltime job, have fun with my grandchildren, walk five days a week, and golf" indicates that the actual surgery is a temporary matter wherein most life activities are concerned. "The effects I suffered from HT have thus far been mild" not only augments the fact that side effects are possible, but that sometimes they can be mild. It is just myopic to discount actual patients' experiences. SignaturePSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05, 2/06, 6/06 PSA .07 .05 .06 .09 .08 .132 .145 Casodex added daily 07/06 Non Illegitimi Carborundum >> cmdrdata: >> >> You got some very good advice from your original post to not rely on any >> anecdotal data. Heed that advice. All responses on this NG from >> individuals reporting their results are anecdotal. > It is just myopic to discount actual patients' experiences. Except that they imply nothing about the next guy's outcome likelihood, only about statistically fringe possibilities. If I wanted to choose a tx with the fringes in mind, we'd choose WW right up to the time our spine was on fire. Why accept knives or radiation or iceballs or drugs if there's a slight chance we may just spontaneously remiss with no SEs? After all, one woman HAS been struck by a meteor and one man HAS been struck by lightning seven times. I.P. <Except that they imply nothing about the next guy's outcome likelihood, only about statistically fringe possibilities.> This isn't really an accurate statement. Actual patient experiences imply possible outcomes, regardless of the statistical likelihood of that outcome. >> It is just myopic to discount actual patients' experiences. > [quoted text clipped - 5 lines] > After all, one woman HAS been struck by a meteor and one man HAS been > struck by lightning seven times. Of course, that's a ridiculous example, but how many times do you figure someone here was scared shitless about RP only to find that we all but slept through it? SignaturePSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05, 2/06, 6/06 PSA .07 .05 .06 .09 .08 .132 .145 Casodex added daily 07/06 Non Illegitimi Carborundum >cmdrdata: > >You got some very good advice from your original post to not rely on any >anecdotal data. Heed that advice. All responses on this NG from individuals >reporting their results are anecdotal. As my son would say: "No sh.t, Sherlock." From: cmdrdata@mail.com (cmdrdata) My Uro says that IMRT is currently one of the best option besides RP, but he also suggested seed implants followed by IMRT. To those that opted for IMRT ONLY, how did you fare with it, and how long post RT are you now? Thanks. I have not decided one way or the other, just still trying to learn more. ====== i would have to throw this into the mix.... how's your prostate?..... in terms of having problems, like prostate stones, enlargement, prostatitis, or UTI's? if one has had prostate problems on and off up till now, having radiation isn't going to make them go away, whereas the RP would rid this problem. it all goes back to the same basic theme. there is no one solution to the pca condition. ~ curtis knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." http://community.webtv.net/PALMER_ENT/doc > From: cmdrdata@mail.com (cmdrdata) > [quoted text clipped - 14 lines] > radiation isn't going to make them go away, whereas the RP would rid > this problem. Ditto pre-existing bowel problems. As soon as I told my rad onc I have mild IBS (pretty much controlled by diet) and do NOT want to risk long-term bowel incontinence, she recommended surgery, citing that "radiation never improves one's bowel function, and may harm it". I.P. > ... > how's your prostate?..... in terms of having problems, like prostate [quoted text clipped - 4 lines] > this problem. > ... I can testify to that. I had prostatitis before radiation, and I had it after. It probably got worse after, though it did eventually go away. Alan |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.