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Treatment advice for prostate cancer
Prostate Cancer | Last Active: Oct 21, 2023 | Replies (65)Comment receiving replies
I’ll try to make this short, but I’m new to this group and PC in general. Since a PSA score that rose from 0.89 to 12.1, I’ve had an MRI, Biopsy, and finally a PET scan at Mayo, PHX. The biopsy revealed Gleason scores of 3x8 (4+4); 3x7 (4+3); 1x6 (3+3); and 2 benign. It got my attention that Gleason 8-10 are an indication for aggressive samples. A subsequent PET scan revealed involvement of a seminal vesicle and a lymph node.
Tx plan is ADT (Degarelix) for 3-6 months then radiation (5 doses in 2 weeks).
My wife is quite concerned at this point. She has been through breast cancer (ILS) and her late husband died of head and neck cancer. I would like to hear some positive encouragement I can pass along to her from people who have had a similar diagnosis. Who am I kidding. I’d like to know for my own self as well.
Replies to "I’ll try to make this short, but I’m new to this group and PC in general...."
Radiation and ADT (or surgery if an appropriate candidate) are the 2 standard of care treatments for prostate cancer.
Mayo is a center of excellence for PCa tx and you are in good hands.
Many men do quite well following treatment.
Best wishes for a good result.
I am also at Mayo Phx. and 17 mos into the journey. PSA reached 80+ and biopsy showed Gleason 7, CT picked up lymph nodes (2). I am 75 yrs old and was in good shape when this started. Treatment has included 39 IMRT radiation treatments (not at Mayo) Lupron in 6 mos intervals (17 mos and counting), and Abiraterone (zytiga) (11 mos so far). My wife and I have put the anxiety and fear aside and have accepted the situation. The side effects of abiraterone are debilitating but I (we) carry on. Mayo (Phx) has been fantastic. Best of luck
Mine was a Gleason 10 diagnosed June 2022. I opted for Lupron and Proton Beam. I'm now off Lupron. So far so good (as I pass the 5th floor). Lupron was not pleasant at all and slow to wear off. Will have a check up this coming August. Will keep you all informed.
My recommendation would be to go aggressive with this cancer. As long as the cancer has not metastasized and out of the pelvic region, it is my understanding that you are a candidate for surgery - Surgery coupled with follow-up treatment (radiation, ADT, ...). I was a Gleason Score 7 (4+3) and fortunately the PC did not get to the lymph nodes, thus did not need the radiation/ADT following surgery.
Good luck and I pray all goes well for you and your wife!!!
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Have rad do rapid arch on margins and lymph notes Last 5 sessions Get on Zolodex 2018 radiation came back in L1 lumbar in 2020 had it radiated and back on Zolodex 2023 put on Xtandi or Enzalutamide 78 years young feel great PSA 2.3 down from 9.8 Was over 1,000 in 18