1. < Prostate Cancer

I am 83 years old with a PSA of 6.5. Will have a prostate biopsy soon.

Posted by artb @artb, Feb 27 9:31am

Would be interested to know what kind of treatment options I have available, depending of course on the biopsy results. I am in reasonable good health, with high blood pressure being treated. How limited are my options based on my age of 83?

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stew80 | @stew80 | Mar 11 12:43pm
In reply to @artb "Stew: Thanks for your comments. It seems our situation may be similar. Will let you know..." + (show)
@artb

Stew: Thanks for your comments. It seems our situation may be similar. Will let you know how I make out. Best to you on your future plans. Art

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I appreciate your response Art, and please do keep us posted. I'll do the same. I get the sense there may be a bit of age discrimination in play but I also know expected longevity and grade of cancer growth vs treatment side effects and quality of life are all part of the choices we make.

REPLY
ava11 | @ava11 | Mar 12 10:47am
In reply to @psmick "My Urologist was quite upset when another MD ordered a PSA that had a result of..." + (show)
@psmick

My Urologist was quite upset when another MD ordered a PSA that had a result of 14.6. The results found their way to his desk and he called me in saying that now he 'had' to do something about it. I was 88 at the time.
A few months later, at 89, I had an MRI, biopsy, and PSMA, the latter indicating that the cancer was contained in the prostate. My Gleason was 4 + 3, as the MRI, and follow-up biopsy confirmed the presence of cancer.
Because of my age, the Urologist recommended that I do an 18 month course of ADT which included 1 month of Casodex tablets, and my first injection of Lupron D. I am on the time release 3-month Injection cycle, and at age 90, had my 3rd one on Valentine's Day.
My PSA has dropped to .03 after 6 months of treatment, and was .05 after the first 3 months. The MD wants it to be undetectable.
Side effects were hard to take during the first 2.5 months with hot flashes, muscle weakness, weight gain, and no energy/fatigue. The only remaining one is a 6:30a hot flash, the others having dissipated.
I do my best to stay active walking 2-3 miles each morning and watching my diet.
Other that the Urologist's disdain, I am pleased with how treatment is progress thus far.

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Did you have a PSMA-PET scan before treatment? I have 2 gleason 4+5 cores on my biopsy.
Should I get a PSMA-PET scan before starting Radiation treatment?
Thank you

REPLY
psmick | @psmick | Mar 12 6:17pm

Yes, I had a PSMA as my last test before starting treatment. Gleason is 4+3. Am in my 8th month of ADT, and my PSA has dropped from 14.6 to 0.2.
I would think that a PSMA is advisable before starting any PC treatment.
Good thoughts!

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