HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Is Radiation Therapy Advisable When PSA Is 0.2?

default
Posted on Tue, 4 Aug 2015
Question: On 14th February 2014, my father is diagnosed to have "Prostate Cancer". After getting opening with doctors, my father went through laparoscopic surgery on 28th April 2014. Surgery is successful with bit of complications like not able to control on urine during day time when he walks/sits down. He got full control while sleep.

Currently, since 3 months is over, doctor is saying to get radiation therapy for 6 and half weeks of radiation is required when his PSA test level is within limit (.2)

Q1 : Should we go through radiation therapy ?
Q2 : If yes, then what are the chances of getting fully cure ?

I am attaching reports for references.
doctor
Answered by Dr. Monish De (21 minutes later)
Brief Answer:
Chances of getting full cure is about 65%

Detailed Answer:
Hi

I have gone through the reports and history.

His prostate cancer is in localized state now and has not spread to distant organs.

I would advise you to take radiation therapy along with hormonal therapy.

Chances of getting full cure is about 65%

Regards

DR DE
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
default
Follow up: Dr. Monish De (5 hours later)
Thank you Dr. Monish for your answer.

Q3 : What parameter is significant in determining/concluding for cancer/prostate cancer : i) PSA test or ii) Histopythology report.

Currently, my father does not have any issue in passing urine but only problem is not having control on urine in certain cases. However, I heard that radiation therapy leads to killing good cells either which can cause blood in urine, hair loss , vomiting etc. Is there any prevention which can be done.

Q4 : Can you please brief me about IMRT radiation therapy ? How does it cures patient who is suffering from cancer.

Thanks,
XXXX
doctor
Answered by Dr. Monish De (13 minutes later)
Brief Answer:
IMRT conform the shape of a tumor thereby killing the cancer cells.

Detailed Answer:
Hi

PSA parameter is significant in determining prostate cancer

Radiation therapy can only cause vomiting which can be prevented by antiemetics

It does not cause blood in urine or hair loss

Intensity modulated radiation therapy (IMRT) uses multiple small photon or proton beams of varying intensities to precisely irradiate a tumor.

It manipulates photon and proton beams of radiation to conform to the shape of a tumor thereby killing the cancer cells.

The radiation intensity of each beam is controlled and the beam shape changes throughout each treatment

The goal of IMRT is to conform the radiation dose to the target and to avoid or reduce exposure of healthy tissue to limit the side effects of treatment.

If you have no more clarifications then please rate the answer and close the thread

Regards

DR DE
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Is Radiation Therapy Advisable When PSA Is 0.2?

Brief Answer: Chances of getting full cure is about 65% Detailed Answer: Hi I have gone through the reports and history. His prostate cancer is in localized state now and has not spread to distant organs. I would advise you to take radiation therapy along with hormonal therapy. Chances of getting full cure is about 65% Regards DR DE