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Suggest Treatment For Early Stage Prostate Cancer In A 80 Year Old

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Posted on Fri, 28 Aug 2015
Question: thank you. I have been diagnosed w prostate cancer.. Biopsy showed 5 positive and 7 negative.
Urologist says it is moderately aggressive. I am age 80 and in good overall health.. and he says
I have option of radiation (5 weeks) or surgery ( and sometimes a little radiation is done
after the surgery.) How do I decide? I don't know right questions to ask. I am of the belief that robo
surgery would be more precise than radiation and less likely to have permanent leakage afterward.
How do I decide? Do I need to ask doc more questions before I decide? XXXXX
doctor
Answered by Dr. Indranil Ghosh (23 minutes later)
Brief Answer:
radiation is preferred

Detailed Answer:
Hi
Thanks for your query.

Yes, both are options in early stage prostate cancer. But I am inclined towards radiation. Radiation is less invasive and equally effective. Long term complications including leakage is less with radiotherapy.

And not to forget that even after surgery, radiation may be required. That is not little but only somewhat less than only radiation.

You should ask regarding short and long-term effects of both treatment in detail. And the 5 yr or 10 yr survival rates in both modalities.

Hope this helps. If you can send copies of reports then I can guide you better.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Indranil Ghosh (48 minutes later)
thank you so much. I value your feedback. I am requesting
test results from my primary care doctor and will send to you
when received so you have more information. May be a few days.
What I am getting is that the radiation after surgery may not
just be a little. and.. to my XXXXXXX that radiation is equally as
effective as surgery. I was thinking robo assisted surgery would
be more precise.
doctor
Answered by Dr. Indranil Ghosh (7 hours later)
Brief Answer:
not necessarily robotic is more precise

Detailed Answer:
Robotic surgery has less complications and earlier recovery but not necessarily more precise than open surgery.

Modern image guided radiation is highly precise.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

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Suggest Treatment For Early Stage Prostate Cancer In A 80 Year Old

Brief Answer: radiation is preferred Detailed Answer: Hi Thanks for your query. Yes, both are options in early stage prostate cancer. But I am inclined towards radiation. Radiation is less invasive and equally effective. Long term complications including leakage is less with radiotherapy. And not to forget that even after surgery, radiation may be required. That is not little but only somewhat less than only radiation. You should ask regarding short and long-term effects of both treatment in detail. And the 5 yr or 10 yr survival rates in both modalities. Hope this helps. If you can send copies of reports then I can guide you better. Regards