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Prostate Cancer

Alternative Treatements to Radiation in Pelvic Area

08/16/2006

Question:

I had my prostate removed in February 2006 and had positive margins and a post op Gleason score of 8. I had testicular cancer and radiation in 1979 and have been told that I cannot have any more radiation in the pelvic area. Are there other treatment options besides "watchful waiting" and hormones if my PSA begins to rise?

Answer:

Usually radiation for testicular cancer is to the retroperitoneum, not necessarily in the pelvis.  It might be worth obtaining a second opinion from another radiation oncologist to confirm that no additional radiation can be utilized.  Watchful waiting and hormones are certainly reasonable options as well.

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Response by:

Lee E Ponsky, MD Lee E Ponsky, MD
Associate Professor of Urology
School of Medicine
Case Western Reserve University