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Hormone Therapy After Seed Implant

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Subject: Hormone therapy after seed implant
Date: 01/09/2008

Hi All--

I had a gleason 9 cancer, which apparently did not spread outside the prostate.  I did the combination radiation therapy--5 weeks outer beam, and then the seed implants.

Now the question is: do I continue the hormone therapy (Luphron), for a year?  That's the prescribed therapy if one does 8 weeks of outer-beam radiation, but my radiologist says that there are no conclusive trials concerning hormone therapy after seed implants.  He does not see a reason to do it, but he wants me to ask my urologist. 

I'm not finding any mention of this particular situation in my Google searches.  All of them mention starting up hormones again if the PSA is rising, but I can't find references to preventive hormone therapy.  Has anyone here been advised to continue hormone therapy after a seed implant?

Subject: RE: Hormone therapy after seed implant
Date: 01/09/2008

I believe that is the treatment Dr Myers underwent for his PC some years ago, after consulting Dr Dattoli.

Specifically he used hormone therapy for 18 months at that time, but indicated that he would now use it for 12 months.

Radiation treatment has become more effective, but his approach should still be seriously considered, expecially with high risk diagnosis.

It's worth reading his book on the subject if you havn't already done so.

Subject: RE: Hormone therapy after seed implant
Date: 01/10/2008
Agree with most of the above...generally, if the psa bumps up exponentially 3 times say...over 9 mo., add'l treatment is likely required...1 yr survivor after rp/nns, confined...good luck...turn over every rock, trust but verify....
Subject: RE: Hormone therapy after seed implant
Date: 01/19/2008

 



I believe that is the treatment Dr Myers underwent for his PC some years ago, after consulting Dr Dattoli.

Specifically he used hormone therapy for 18 months at that time, but indicated that he would now use it for 12 months.

Radiation treatment has become more effective, but his approach should still be seriously considered, expecially with high risk diagnosis.

Thanks for the reply, John.  I'll be seeing my urologist this week, and I'll get his opinion.  Knowing that hormone treatment can only be effective for a limited amount of time, I keep feeling that it may be better to hold it in reserve in case the PSA numbers begin going up again. 

 

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