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RARP Pathology report questions

Prostate Cancer | Last Active: Feb 5 8:17am | Replies (13)

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@jeffmarc

While you have not directly said it, it appears that you are prepared for having both surgery and radiation. I’ve heard of people having salvage radiation less than a month after surgery, I’m sure they can wait in your case If you get hormones after surgery, that will prevent your Cancer from growing. There would be no harm in starting hormone therapy immediately after surgery, ask your doctor, I’m sure he’s going to want you on hormones, try and get Orgovyx as previously recommended.

I had my PSA checked about seven weeks after surgery, it went from around 20 to undetectable. I’ve heard that three months is pretty much the standard however.

Even though you have a few negative things in your biopsies, You have a really good chance of living a long life as long as you follow the standard treatments. You are only a Gleason seven, that makes your cancer very treatable.

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Replies to "While you have not directly said it, it appears that you are prepared for having both..."

Thanks Jeff,

Yes originally the doctors explained that the most aggresive approach would be to have the surgery first then look at the other treatments, he said that all though it was possible to do radiation first then have the surgery it was much more difficult for the surgeon because of the effects of the radiation to the region so we went ahead and did the surgery first.

We had also discussed starting hormone therapy before surgery but because it was so close time wise decided to do the surgery first and again that would make it easier for the surgeon to handle.

We will see what the PSA is and what they say at our upcoming follow up in about three weeks but assume we will be discussing getting on hormones right away and whatver else the next steps are.

Its very comforting to know there are so many treatments now and like everyone has said should be able to live normal (new normal) life going forward.

Thanks Again,

Will keep you posted...