Prostate cancer
posted by Roderick
09 January 2023

Radiation Options - Lymph nodes or not

Last reply: 2 months ago


I am a Gleason 8 (3+5) PSA 10. Apparently I am T2C N0 M0. The cancer is 1.8cm along the anterior of the prostate. It seems to be contained within the prostate.

The radiologist recommended IMRT and this seemd fine. However, i saw a second radiologist and they said, given the grade and extent of tumour, they would suspect that micromets could be beyond the capsule and they recommend radiation not only of the prostate but to also include the lymph nodes.

Now in terms of risk management the latter approach seemed sensible but of course risks of damaging the surrounding areas will increase.

I am at a loss as to what to do!

1 comment


commented by Cancer Nurse
16 January 2023

2 months ago

Dear Roderick


Thank you for posting on our online community. I am hoping you will hear soon from others on our online community who have had treatment for prostate cancer.


Meanwhile if you would like to speak to a cancer nurse about your choices you can do so by phoning our support line at 1800 200 700. We are all cancer nurses here Mon-Fri 9-5pm and would very much like to support you at this time. It can be so hard when given 2 different opinions.

We would also suggest you arrange to speak to your GP. Hopefully he/she has received correspondence from both radiotherapists. It would be good to discuss you options with your GP who will know you and any other medical conditions you may have.

If you would like to speak to another gentleman who has been through radiotherapy for prostate cancer, we can arrange that also when we are speaking to you,through our Peer to Peer support programme.


I do hope we will hear from you

Kind regards

Cancer Nurse.

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