You have to realize that prostate cancer is a chronic disease for most of us not a deadly disease.
You have been given some test results that aren’t really great, But they are very treatable. You can have radiation to the prostate and the lymph nodes, and the problem will go away. The only issue is if some of the lymph nodes are near other organs that could get damaged by radiation. They may not want to do radiation on them.
I’ve been living with prostate cancer for almost 17 years now. I’ve had surgery and radiation and lots of drugs with four reoccurrences. I’m 78 now and the prostate cancer Does not really affect my life and my ability to do things . I do walk on a track twice a day for a mile and go to the gym three days a week, But I would need to do that to stay in shape since I’ll be 79 in a couple of weeks. People are surprised that I’m so old, Yet in good shape.
You want to make sure you are being treated at a center of excellence. You have an aggressive case and you need to have it treated properly. If you do that, you can have a long progression free survival.
Ductal is an aggressive issue. Were any of these things found in the biopsy intraductal, large cribriform, Seminal vesicle invasion, EPE or ECE. (Extraprostatic extensions extra capsular extensions). They can make the cancer much more aggressive.
@jeffmarc according to AI it’s concerning that PSMA PET scan shows an active right perirectal node (0.4 cm, SUV 8.4). This sits outside the traditional extended pelvic lymph node dissection template.
Could make surgery more difficult and could impact radiation as well but I believe the barrier gel would prevent rectal damage.
I’ll meet with original urologist Monday and then the radiation oncologist he recommends on Friday. I’m also meeting with Emory Winship team again after they have decipher. I’m also reaching out to Mayo Jacksonville.
The plan is to weigh my options and then go for aggressive treatment.