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Medical Forum / Diseases and Disorders / Prostate Cancer / August 2007

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Radiation "Boost" Starts Monday

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Debbie13331 - 13 Aug 2007 02:03 GMT
Hello all,

As I've mentioned before, Allen has been going through radiation for his
cancer reoccurance.  He's completed 22 treatments (13 left) and they
change the treatment area on Monday.  They are narrowing the area -
although they call it a "boost".  He's been dealing with some side effects
and is worried that they'll continue to get worse with the boost.  Any
experience here?  The doctor says that (for some people) the side effects
lesson in the last two weeks.  Has anyone experienced that?  We're
approaching the finish line - can't arrive too fast!  Thanks in advance
for anything any of you can share.  Regards, Debbie

Allen's "stats":
Prostate Surgery 8/2004, 3+4=7, [capsular penetration, clear margins???]
Undetectable PSA until:
12/06 0.1
4/07 0.26
5/07 0.30  
Started radiation on 7/11/2007.
Steve Kramer - 13 Aug 2007 09:41 GMT
> As I've mentioned before, Allen has been going through radiation for his
> cancer reoccurance.  He's completed 22 treatments (13 left) and they
[quoted text clipped - 3 lines]
> experience here?  The doctor says that (for some people) the side effects
> lesson in the last two weeks.  Has anyone experienced that?

I have not had any experience with a "boost".  But, if they raise the dosage
for the boost, that area getting the boost will obviously be greater
affected.  However, if they are narrowing the area, than the affected area
will be smaller.  Ergo, I would think that general fatigue would get worse
and colorectal problems might start getting better.  I don't know how they
can miss the urethra, so if urinating is one of his problems, it might get
worse.  I suspect one or more SEs will get worse and overshadow any
improvement in another or others.

Makes for a long three weeks, I know.

Signature

PSA 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            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04 (06/12/2007)
Non Illegitimi Carborundum

callalily - 13 Aug 2007 23:58 GMT
> Hello all,
>
[quoted text clipped - 7 lines]
> approaching the finish line - can't arrive too fast!  Thanks in advance
> for anything any of you can share.  Regards, Debbie.

======.>>My husband just started his 6th week of rad at MSK and he has
had almost no side effects.  No nausea or fatigue.  He just mentioned
the other day that he is having some rectal burning when he has to
go.  The doctor offered him a prescription for that, but I don't think
he filled it.

I have been following your story and have been concerned that your
husband was having so much trouble from the rad so early -- I hope
this is not an example aof "uneven cancer care,"  i.e., I hope your
husb in his the hands of a highly-skilled doctor.  Doing radiation
sounds to me like a no-brainer, but I'm sure it isn't. I also wonder
how old your husb is and whether he had any health problems before
that might predispose him to have more side effects.  Mine (55)
didn't.

I can't retrieve your original post, but if I remember correctly your
surgeon recommended that you act quickly and you did.  You were lucky
to have a smart, caring doctor.   And I congratulate you for getting
him started on the tx so soon, it took us 5 mos.  As far as results,
the latest ones I've seen up the odds of "success" to 70% when done
early (and with favorable stats).

Good Luck

Leah

prostatecancerblog.net
Debbie13331 - 14 Aug 2007 20:57 GMT
Hello Leah - Allen is 53 (pretty close to your husband), but he is in a
"high risk" category.  He has Crohns disease, although it has been under
control for the last fifteen years or so.  The problems have all been with
the rectum - and some stomach pains.  No bladder or impact to sexual
function - as least not yet.  I'm glad you hear that your husband isn't
experiencing side effects to any great extent.  It'll all be over pretty
soon (just over two weeks).  

Thanks!  Debbie
 
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