In order to treat your condition effectively, the stage or degree of progression of your cancer must be determined. At the Prostate Center LLC, we utilize specific protocols for low risk patients, intermediate and high risk patients, as well as for those patients having local failure (recurrence) after external beam radiation therapy (EBRT) alone or seed implantation alone. These protocols are:
LOW RISK.Eligibility criteria for patients receiving seed implantation alone include:• clinical stage T1/ T2 prostate carcinomas • PSA less than 10ng/ml • gleason score less than or equal to 6 INTERMEDIATE & HIGH RISK.Those patients who have a greater tendency for microscopic extracapsular extension that will require (3-D) conformal, high energy photon therapy directed to the prostate and periprostatic tissue, and possibly lymph node sampling prior to seeding:• clinical stage greater than or equal to T2B • PSA greater than or equal to 10ng/ml • gleason score greater than or equal to 7 • elevated prostatic acid phosphatase • perineural invasion and ploidy analysis have not been formally evaluated in previous patients in our institution; this is, however, an area of interest, and data is being collected and will ultimately be reported. |
Email: