You are awfully young to have prostate cancer. I wonder if it’s due to things that are related to the military and The places you have been.

You really need to get a Hereditary genetic test. People who get prostate cancer that young almost always have a genetic issue. I got it at 62 because I have BRCA2. My brother got it at 75 because he doesn’t. My father died from prostate cancer so it makes a chance of my brother and I having it almost double. I had Two aunts get breast cancer. One of them died, and Her daughter died of breast cancer at 60. All must have had BRCA2, But it happens quite a long time ago, so it wasn’t available then. My mother gave me BRCA2.

You have a very high chance of having BRCA2, Because of the breast cancer and prostate cancer in your family.

Have you had a PSMA PET scan? The CT scan is old Technology, The PSMA pet scan is the standard for finding prostate cancer these days. You should tell your doctor that you want a PSMA PET scan before you make a final decision.

Once you have that hereditary genetic test And find out whether or not you have BRCA2, You can make a much more educated decision. If you do have BRCA2, then having a prostatectomy makes a lot more sense, As long as the cancer has not spread beyond the prostate. Something you can’t really find out without that pet scan.

The reason I say a prostatectomy makes more sense is because Of how prostate cancer has reoccurred because I have BRCA2. I had surgery and 3 1/2 years later than the cancer came back. I then had salvage radiation and it was 2 1/2 years later that the cancer came back. I had 2 more reoccurrences but It’s now 15 years since I had surgery, I was a Gleason seven which gives me a better chance of progression free survival. I have been on ADT for nine years and an ARSI for six.

Medicine is moving quickly to help with prostate cancer patients. With proper treatment, you could live decades because of these new developments that keep coming out. Be proactive and get the testing I mentioned done.

I’m sure your doctor will agree that these are the best things you should do before making the decision.