XRAY vs SURGERY

PROSTATE TREATMENT ASSESSMENT SUMMARY BY GEOFF FERNALD
MAY 6 1997

General Info:
56% chance not contained due to:
Staging: T2b, Gleeson 6 to 7, 3 Left Cores Adenocarcinoma

Plusses

Negatives

Surgery - anywhere

-Long life for 80%

-Lymph nodes checked(13%)

-Well understood technology

-More people have done it

-Salvage options Hormone &
XRT

-10% erection chance (my #)

-May miss peripheral?

-Messier process

3D Conformal Radiation Stanford University

-Long life for 80%

-Low chance of recur in P.

-68% erection chance

-Extended radiation

-Tissue damage

-Down sides same%, but can be ugly

-Newer technology

Salvage option is Hormone

Next steps toward Radiation Treatment

	Plusses	Negatives
Surgery - anywhere
	-Long life for 80% -Lymph nodes checked(13%) -Well understood technology -More people have done it -Salvage options Hormone & XRT	-10% erection chance (my #) -May miss peripheral? -Messier process
3D Conformal Radiation Stanford University
	-Long life for 80% -Low chance of recur in P. -68% erection chance -Extended radiation	-Tissue damage -Down sides same%, but can be ugly -Newer technology Salvage option is Hormone