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New Oncologist recommendation vs. prostectomy

Prostate Cancer | Last Active: Aug 23, 2025 | Replies (25)

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You will NOT be restricted from your life’s pursuits by any treatment you may choose.
With the exception of a few men here whose Stage 4 cancer affected their spines/hips and restricted their mobility, NONE of us are sitting at the window, staring blankly at the bleak horizon. WE ARE DOING!!
We engage in more activities than are listed on a box of Tampons 😉 - cycling, hiking, sailing, hunting, triathlons, bowling, etc, etc…
Sure, certain treatments might curtail you for a few weeks or months but even then, you’ll manage to do mostly what you want.
Cribriform is a scary word once you’ve learned its implications, but now that you and your drs KNOW it is there, you treat accordingly.
You may need surgery followed by radiation and ADT if your team feels you need it. You’ve got to fight fire with fire sometimes…
That would be more disruptive to your life but nowhere near as disruptive as being told that your cancer is untreatable and you won’t be around for your next birthday.
I have a copy of my surgical pathology report sitting in a drawer. I will not look at it! I might even burn it. I don’t want to see any words or phrases that are going to make me crazy insane with worry and negative projection. I mean, why bother??
No matter WHAT is written there isn’t going to change anything, is it? If I had cribriform or intraductal patterns in my pathology it is not going to change any treatment I may need in the future, OK?
If the PSA starts going up - even after surgery and salvage radiation with ADT - well I guess I have a more aggressive cancer than previously thought. So then I’ll have to treat it with combos of this drug or that…such is life and you just can’t control it. You just bend, twist and roll with it…Best,
Phil

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Great perspective!