I am 84; My diagnosis: At least a stage IIIA high risk prostate adenocarcinoma, cT2. Gleason 4+4, 11/11 cores PSA 13.1 My PSMA PET scan "showed no sign of tumor metastases"
I recommend you check out: Citation https:" http://www.urotoday.com/video-lectures/localized-prostate-cancer/video/4525-overtreatement-of-prostate-cancer-persists-in-men-with-limited-life-expectancy-timothy-daskkivich.html"
The subject is the Trifecta method method of counseling patients. Trifecta includes 1) A patient's life expectancy;
2) A patient's cancer prognosis at the time of the patient's life expectancy because it is a time dependent risk;
3) Giving the cancer prognosis with or without treatment.
I have read Trifecta counseling is part of the NCCH guidelines - but I couldn't find them.
You need to know What your prognosis is: if you take treatment or if you don't take treatment My situation was that the aging process was reducing the quality of my life more rapidly every year; I did not want to give up the quality of my life from 84 to 86 to extend my life from 92 to 96 . The article was published after I started the ADT. The side effects of the ADT dramatically affected my ability to participate in my "normal" activities. Get all the information you can; as fast as you can before you start treatment.