prostate recurrence after 22 years

  • 6 replies
  • 175 subscribers
  • 873 views

  At the turn of the century, I underwent a radical prostatectomy, (surgical removal of my prostate gland), hoping that it might give me another 5 or 10 years. The op was successful, and  I am very fortunate to be "still here" after 22 years enjoying quite a good, simple, quality of life, although I now live alone and am approaching 84 YOA.

   To my dismay and slight surprise, it was recently detected that my PSA reading was rising and I have recently undergone various scans which show that some remnant cells have taken hold.

     I have recently been started on a course of Hormone therapy, (monthly injections of Prostap), which I believe is having some beneficial effect as my PSA has dropped. I am in pretty good general health and it has been hinted to me that some other alternative treatments may be available to me (involving endoscopy/biopsy/radiotherapy).

    Would it be wise of me to place my faith in my instincts and continue with simple Hormone Therapy alone, which is convenient and not too intrusive, or should I consider more drastic intervention?

    Has anyone experience of a situation similar to mine?

WOMBAT

  • Would that not depend on how accessible the tumour cells were for biopsy ? Would it be worth having a PET scan to localise them first , if you haven’t already ? If it wasn’t widely disseminated,  it might be possible to give you a second ‘cure’ . That’s just an instinctive answer , I have no special insights , but if you want it , your age isn’t a total contraindication - another 20 years is possible .

  • Hi Wombat

    You don't say how much the PSA has gone up by although I understand that it has now come down because of  HT.

    HT can keep cancer at bay for years although not always.

    I would have a MRI scan to if anything shows up.Take it from there.

    Regards 

    Steve

  • Sorry to hear of your recurrence, but 22 years is a good one!

    The usual thing is to do both - take the hormones until the  cancer becomes 'tumour resistant', then take the chemotherapy. If you are finding the HT fairly benign, it would work for a while, though no saying how long.

    On the other hand, if the recurrence is all in one place, then other options may be available - well worth asking, I'd have thought. But if the recurrence is in more than one place, surgery or radiotherapy would probably not be advised, as there may well be yet further deposits that are too small to show on scans. Certainly worth a PET scan.

    Good Luck, whatever option you take!

    - - -

    Heinous

    If I can't beat this, I'm going for the draw.

    Meanwhile, my priority is to live while I have the option.

  • Hi Grundo, (I Hope I'm doing this correctly).

        Thanks for your response. For over 20 years my PSA reading was "virtually ZERO", then, October, my GP contacted me to say the latest blood test showed it had gone up to about 13. I was a bit unbelieving so another sample was taken a month later which read about 14 and I was referred to hospital (urology). This set things in motion and a series of scans and test followed, including full MRI and others, which confirmed a problem.

         I was started on Hormone Therapy, (Prostap JAB) and am booked for the 4th of my monthly JABs next week. I saw Hospital oncology consultant a few days ago and he very sympathetically discussed the whole situation with special  reference to my age. He also touched on other "possible" approaches including maybe some radiotherapy. He also told me, I think with a smile behind his mask, that my PSA has now dropped to less than 1 (one).

    Regards, WOMBAT  

  • Hi Wombat

    It's good that the HT has worked, u can survive for many many years on that.

    Only other thing , u say MRi shows a problem, could be worth finding out exactly what that means, specifically where any tumour is located.

    If minor a quick burst of RT could sort it.

    Either way am sure you're going to be fine 

    Steve

  • Hi Wombat,

    Wow, 22 years.  If I can get to 22 years before the Prostate Cancer coming back...

    Hope everything goes well with you.

    Steve (SteveCam)