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Newly Diagnosed: Removal vs Radiation

Prostate Cancer | Last Active: 3 days ago | Replies (62)

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@mspotter1956

I will have my PSMA Pet Scan this Friday, at the Charlton Building, Mayo Clinic. I have been waiting since November 5th, when I discussed possible participation in a study comparing outcomes between Tulsa Pro Ultrasound Ablation and Radical Prostatectomy. Of every three participants, two will get Tulsa Pro, and the other will get prostate removal. Providing I qualify, after the PET-CT Scan, a computer will select me for one treatment or the other. I also have a radiation consultation on January 2nd. I was diagnosed with prostate cancer on October 11, 2024. They found five lesions: a 6mm Gleason 7 4+3 with 20% core sample cancerous, a smaller Gleason 7 3+4 with 25% core sample cancerous, and three smaller Gleason 6 3+3's with 15% or less cancer in the cores. They took 20 cores altogether, 5 with cancer, one with abnormal cells, and 14 with benign prostatic tissue.My last PSA was 5.8. My last DRE was smooth with no nodules. My Telsa 3 MRI showed no suspicious lesions in the pelvis, bones, or lymph nodes. Since diagnosis, and during the wait for my PSMA PET Scan, I haver poured over many Youtube Videos on Prostate Cancer, and treatments. It is reassuring that my cancer will likely be cured, but, I feel pretty down about what treatment will do to me. I wish I could just do active surveillance, but my doctor does not recommend that because of my 4+3. I wish there was someway to stop the cancer from growing and spreading, by diet and exercise. After reading an NIH study that showed a link between eating 2.5 eggs a week or more and a 81% increaded risk of LETHAL prostate cancer, I have quit eating eggs ( since October.) I have quit eating all red and processed meats, all dairy, and an now on a mostly plant based diet. Since prostate cancer usually grows slowly, I am wondering if I can slow it down further, or stop it altogether by my diet? This may all be a waste of time, and it has been pretty depressing. I am not ready to give up my sex life and not ready to have chronic urinary incontinence. I am hopeful that treatmet at the Mayo Clinic will improve my chances of avoiding permanent or severe side effects. I am 68 years old, in good physical shape, and sexually active with no problems. Is there reason for hope with all of this? Have some of you done well with treatment? Anyway, thank you for reading all of this...

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Replies to "I will have my PSMA Pet Scan this Friday, at the Charlton Building, Mayo Clinic. I..."

Interesting @mspotter, thanks for posting. After reading jcf58, I hope you get the Tulsa.

I read that study and my conclusion is: eat the eggs!
There were 675 fatalities due to prostate cancer out of over 872,000 person years. That’s a super low percentage and they pinned it on the highest choline intake? It could have been the same numbers for ANY ingested compound at that rate or maybe even higher.
That article was from 2012, the same year that another NIH paper claimed NO causation for PCa from eggs…..A lot of these ‘scientific’ papers work by postulating a theory - eggs cause cancer - and then magically find numbers to support that theory. In fact, this was not a double blind study and more importantly, did not tackle the question of how the eggs were prepared: boiled, fried in butter, fried in margarine, Crisco, olive oil? Eaten in a souffle??
I think you see what I am saying. Perhaps those things caused the cancer and not the eggs. Association is not causation…