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Prostate Cancer

Alternative Treatements to Radiation in Pelvic Area



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?


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