Locally Advanced Prostate Cancer T3 (N1, M0) Advise

Hi Grigor

Best to stick to 1 post per query, if u go back to your original post u will see a couple of replies

Steve

Hi grigor 

my situation is somewhat similar to yours . Only thing I had 6 cycles of chemo along with Hormone injections. And psa down to about 4 . Not sure if you had any along with hormone ? 
I am 49 and although only one surgeon in private sector has offered surgery & others RT . Same as you surgery has to be followed by RT but if RT it’s the one treatment alone at high dose . Surgery the arguments for is - reduce the size of tumor and in case recurrence the complications of surgery are worse like colostomy etc so do it before he says . Oncologist says that’s an old argument bcos RT nowadays is very targeted and curative and chances of reccurence are less and there are lot of meds to treat it . I suppose the only thing that moved me towards RT is this . Already the HT & chemo has dealt with the tumor & nodes and made it small & sanitised and if surgery is done in that area blood spread will be more ( u can’t avoid bleeding in that area ) and will make a lymph node spread into a blood spread which is far worse and spread will go sit in the lung or liver with a far worse prognosis. Again this is just me thinking & how I opted for RT . Hope this helps 

With a T3b tumour, I think radiotherapy has the edge, but not by much. You need to look at the side effect profiles of both - especially long term effects - to see which you'd find easiest to live with.

Also, you should see the oncologist about the radiotherapy, not just hear about it from a surgeon!