Do I Continue Active Surveillance or Consider Intervention?
Age: 76 Male, Diet: Life Long Plant Based Lacto Vegetarian, no tobacco, no drug and no alcohol use.
History: Prostate cancer detection-
No bothersome urinary symptoms, No gross hematuria, dysuria or recent UTIs. Digital Rectal Exams (DRE) -Normal
PSA 10.57 ng/mL 10/31/2018
MRI (2019): IMPRESSION: PIRADS 5 lesion confined to Prostate: PIRAD 5 Lesion of the posteromedial left peripheral zone at the base with long segment capsular abutment and left seminal vesicular abutment, but no macroscopic extracapsular disease or seminal vesicle invasion within the limitations of this non-contrast exam. Volume: 23g
Biopsy May 2019:
Prostatic Adenocarcinoma (Pathology findings) cancer of glandular epithelial cells, Gleason 3+4=7, WHO Grade Group 2, Perineural invasion present - suggest that diagnosed Prostate cancer is intermediate favorable risk. Left mid Gl 3+4 (1 out of 2, 30%), right bottom Gl 3+4 (1 out of 2, 20%), left ROI- Gl 3+4 (2 out of 11, 10%, +PNI). Four of the biopsy samples contain signs of cancer, but no more than 50% of a biopsy sample (4 out of 15=27%) showed the presence of prostate cancer cells.
Prostate Cancer Oncotype DX Genomic Test (Provides additional Information by predicting if the cancer has grown outside the prostate or high-grade disease) Score = 37
Urologist suggested Active Surveillance (with Delayed Intervention), The prostate volume was 28.9 cc., The prostate length was 46.4 mm., width was 40.3 mm. , height was 29.5 mm.)
CABG (Heart Bypass surgery) July 2019
Prostate MRI 11/2021: No significant Change from 5/2019.
On Prostate Cancer Supplements & Natural Remedies:
12/4/2022 (The prostate volume was 25 cc., length was 42 mm., width was 41 mm. , height was 28 mm.)
Prostate Specific Antigen: PSA is 3.1 ng/ ml (blood test 12/15/2022) (Max is 6.5 for my age), Previously was 6.5 in June 2022.
Question: Continue Active Surveillance? / Consider Intervention? Radiation? Any suggestions? (Prostate Surgery is negated due to comorbidity and age)
Interested in more discussions like this? Go to the Prostate Cancer Support Group.
Thanks for helpful information. It has thrown lights. I have started research more.
Recent Article (Medically reviewed by Teresa Hagan Thomas PHD, BA, RN — By Jacquelyn Cafasso on October 24, 2022): https://www.healthline.com/health/prostate-cancer/perineural-invasion-prostate-cancer
Thanks Again
Prostate cancer supplements??
I would cut out that Bad boy cancer and hope for another 20 years , it is a gamble that is worth taking. I am 76, gleason 9, had surgery, 13 months of ADT and Erleada CRPC and hoping for 8-10 more years maybe hopefully more. Working hard on staying alive! Good Luck You are not too old to be aggressive in this battle
I am not a doctor. Good to talk to an Ayurvedic Doctor.
I did Google Searches
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4003704/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3425142/
https://www.ayurvedacollege.com/blog/prostatecancer/
https://www.planetayurveda.com/prostate-cancer/
http://ayurveda.alandiashram.org/ayurvedic-treatment/prostate-cancer
https://vibrantayurveda.com.au/ayurvedic-management-benign-prostate-conditions/
I took and am taking Ayurveda medicines which reduced PSA from 6.5 to 3.2. Do not know the effect on Cancer though.
1. Himplasia made by Himalaya Wellness Company
https://himalayawellness.in/products/himplasia
https://www.google.com/search?q=Himplasia&sa=X&rlz=1C1SQJL_enUS881US881&biw=1920&bih=880&tbm=shop&sxsrf=APwXEdfLcyWZ0lNbrCENvEKRgNmr0xzk_g:1687463587470&tbs=p_ord:p&ei=o6aUZNbxG_mOur8P6PCh-A0&ved=0ahUKEwiWz87d09f_AhV5h-4BHWh4CN8Quw0IggwoAg#spd=14192419694719911917
2. Prostaid by Baidyanath
https://www.storeela.com/product/baidyanath-prostaid-50-tablets-pack-of-2/
https://www.baidyanath.com/about-us
3. Charak Pharma Prosteez Tablet Useful in Prostate Enlargement
https://www.amazon.com/Artcollectibles-India-Prosteez-Prostrate-Hyperplasia/dp/B01JH0V7VY/ref=sr_1_7?crid=2NG2SVBRQQFGR&keywords=prostate+medicine+ayurveda&qid=1687463976&sprefix=prostate+medicine+ayurveda+%2Caps%2C129&sr=8-7
4. Prostact Tablet by Kerala Ayurveda
https://www.keralaayurveda.biz/product/prostact-tablet
5. DIVYA PROSTOGRIT TABLET - Ayurvedic Medicine by Patanjali.
https://www.patanjaliayurved.net/
Best Luck