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3-d mapping & brachytherapy

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Prostate Cancer
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Posted 10/13/2009 8:30 PM (GMT 0)
Hello again to all of you that responded to one of my previous threads.

It seems that most of the participants of this dialogue have gone through radical surgery.  I was wondering if any of you had 3-d mapping prior to surgery?  Had any of you considered "seeding", but found that it was not an effective route for you?  I had a general biopsy, 26 slides, showing a small focus of adenocarcinoma, gleason grade 3+3=6 in 2 of the 6 areas sampled? Because it is not widespread I am considering mostt other options than prostate removal and would appreciate any input from you.

Propaul

Posted 10/13/2009 9:00 PM (GMT 0)
ProPaul,
What was your psa? how old are you? A g6 low psa is ideal for active survelience or just about any treatment. You can get a 3D mapping or a color doppler just to be sure, but 26 cores is pretty much a 3D mapping anyway.
If you were to go on AS get a doctor that is familiar with it; the important thing to monitor is your psa doubling time. If it is over three years and stays above three years there is very little chance of your PC ever hurting you.
JohnT
Posted 10/13/2009 9:07 PM (GMT 0)
Propaul, I original was sold on and wanted seeding, but couldn't have it. My PSA was too high, and my PSA velocity was really troublesome, indicating a pretty agressive cancer. In the end, I went with open surgery. Now I am in the midst of salvage radiation.

I think seeding is a great alternative to those who meet the criteria.
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