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Why was one with prostate cancer given leupride depot injection instead of radiations ?

hi..iam 68 yrs old male diagnosed ca prostate with gleason score8/10 and PSA 20.8. no metastasis . oncologist advised leupride depot injection. one dose taken yesterday.second one to be taken next month. i doubt why they havent gone for radiotherapy or chemotherapy? underwent DHS fixation for # intertrochanteric region right femur with no trivial fall . has osteopenia.
Asked On : Fri, 6 Apr 2012
Answers:  2 Views:  52
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Urologist 's  Response
Thanks for your query

Cancer prostate with gleason score of 8/10 and PSA 20.8 is suggestive of advanced disease and has high probability of distant disease.
Such a disease can be managed by hormonal therapy in the form of LHRH depot injection and bicalutamide.
Recently High intensity focussed ultrasound therapy has been designed for patients meeting your criteria.
Radiotherapy/ chemotherapy are not the first line options in your case.
If you have urinary symptoms, a channel TURP maybe planned.

I hope i have answered your query
Dr Vineet Malhotra
Answered: Fri, 6 Apr 2012
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Oncologist Dr. Jawahar Ticku's  Response
Prostate cancer is hormone sensitive. Now yo have started leuprolide it is ok. Check your PSA after three injections. If it is reducing continue it. If it is rising you need aggressive treatment.
IGRT to prostate followed by chemical castration is the requirement.
Answered: Fri, 6 Apr 2012
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