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A member asked:
Can poroton therapy be used on prostate cancer of 9 on gleason and psa of 21?
10 doctors weighed in across 3 answers
Radiation for CAP: Prostate cancer (cap) responds to radiation therapy, though radiation is less effective against higher grade tumors. Additionally, you harbor a significant risk for nodal spread of your cancer, even if it was detected by elevated psa alone. Not knowing your age, health status, symptomatic state or clinical stage, it's hard to definitely recommend surgery, though your best chance is prostatectomy.
Answered 10/4/2016
6.1k views
Maybe: More information required. I assume with those numbers that some further testing ha been done to rule out metastatic disease. With gleason 9 cancer and a psa of 20+, there is high likelihood of extraprostatic disease, based on the partin tables. I would make sure that a ct of the abdomen and pelvis as well as a bone scan have been done before making any recommendations.
Answered 5/27/2016
6.1k views
Nope: I don't think it will work. I think you need to see another urologist. At least consider hormones as well.
Answered 2/7/2015
5.9k views
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