Gleason 8 & stage 2 - should I choose surgery or radiotherapy?

stephen.dawes
Posts: 2
Joined: Sun Apr 24, 2016 2:44 pm

Gleason 8 & stage 2 - should I choose surgery or radiotherapy?

Postby stephen.dawes » Sun Apr 24, 2016 3:05 pm

Hi all,

I have been told that I have a Gleason 8/T2 prostate cancer and am trying to decide between surgery and radiotherapy to treat it. I'm fit and active and am 52 years old.

Has anyone got any thoughts on what might be best for my condition? :roll:

Many thanks

professoreden
Posts: 21
Joined: Sun Apr 24, 2016 2:40 pm

Re: Gleason 8 & stage 2 - should I choose surgery or radiotherapy?

Postby professoreden » Mon Apr 25, 2016 6:10 am

In my opinion your best (but not only) option would be surgery. This is because it will give you a final grade and stage (which accurately predicts prognosis), a target PSA of <0.1 ng/ml, rapid identification of recurrence if you are unlucky enough to get it, radiotherapy and hormonal therapy held in reserve for this possibility (which is well tolerated because a lower radiation dose is given than for primary radiotherapy), no risk of radiation-induced pelvic cancer and good functional results in the hands of a high-volume surgeon. Younger men and men with higher-risk prostate cancer benefit the most from surgery and (unfortunately) you fit into both categories.


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