Help!

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Wasn't sure where to post this so apologies if it's in the wrong bit.

I'm 49 (just) and have been diagnosed with stage 3c prostate cancer. Started with my partner seeing an advert for PSA screening tests (end of June) so after a bit of cajoling she booked me in. No symptoms of anything but I'm not daft enough to disagree with the boss!

Long story short, result came back at 3.3 so I spoke to the doctor. Repeated the test and again 3.3. Waited a couple of weeks, another test and this time it's 3.8. 

He refers me to urology. The DRE finds a lump so off to MRI.

They find some areas so next is a biopsy. Have 34 cores taken in total - now have to wait for the results - the appointment being on my 49th birthday! 

Results day comes and it's the news nobody wants to hear - 5 out of the 34 have cancer and I've been given a score of 7 (4+3). Don't know any other scores than that. 

Have a bone scan the following day and luckily it's not spread anywhere.

When I was told the results, we discussed treatment options. I'd already done some reading and we agreed that surgery (depending on bone scan) was my preferred choice. I was told that it would be more than likely surgery would be about 6 weeks away and by Xmas I would be getting back to some sort of normality. I'd still have to meet with the oncologist so the radiotherapy could be discussed but I'd be meeting both within a couple of weeks. 

So yesterday, I get an appointment through for the oncologist for the 8th November- exactly a month away. I've not heard anything about the surgery. 

29th September was my initial diagnosis, 30th was bone scan. 4th October was the MDT meeting.

It just seems an awfully long time to wait to see someone I'm 99.9% adamant I don't want to be actually using. I've phoned my CNS this weekend but she's now on holiday for 10 days so I'm not sure what to do.

I know there's a lot worse off than me but I feel a bit overwhelmed if I'm honest. I was feeling quite upbeat about getting things moving forward and now I feel quite down in the dumps. 3 months ago I didn't really know what a prostate was and now...

Sorry for the rambling post, 

Davo 

  • David, it wasn't a rambling post.  It is a lot to get your head around.

    When you go to see your Oncologist make sure you have your wife with you.  I always found this a great help.  You get questions prepared.  I know that if I had been on my own, the questions would never have been asked.

    Welcome to the forum anyway.  Plenty of good advice from personal experiences from lots of men (and their wives).

    At first I was ashamed to cry, but now, I don't care what anyone thinks.

    Do you have a Maggie's Centre near you?  They are great for advice.

    Steve (SteveCam)

  • Hi Davo

    I understand your feelings of being overwhelmed. The shock of being diagnosed hits you like a train - particularly as you are relatively young. 

    Nothing about PC takes time, and that's nothing to worry about as it's slow growing. That said, you seem to have made your decision, so why see the RT consultant? 

    My initial reaction was 'I want this out of me' so I get why you may have made your decision. 

    Patience is the key, I believe, so speak with the RT consultant and then make a final decision.

    Hope this helps

    Regards

    Stuart

    Trying to get fit again!
  • Hi Davo 

    A couple of things here.  Your stats seem quite low so T3c 

    Is a bit unusual.

    T3c would indicate that the cancer has spread outside the gland  . Good news that there are no bone mets, still potentially curable.

    Could be worth checking where the cancer has spread outside the gland, MRI should show that.

    Sometimes you can be better off with Radiotherapy and HT if outside the gland. When you have another meeting suggest you ask them about having surgery becsuse of T3c and if RT would be better.

    I know it's worrying when first diagnosed but it does get better especially when u have a treatment plan and u understand what is going to happen

    Best wishes

    Steve 

     

     

  • Sorry to hear about your diagnosis, and I completely understand about feeling overwhelmed. It's a lot to take in.  You may want to get things going as quickly as possible, but I think you have time to reflect on your treatment options. A meeting with an oncologist is important so that you understand all your possible treatments. Every course of treatment may have adverse side-effects, including surgery. It's a delicate topic, but surgery can lead to erectile dysfunction which may not respond to medication. I'm not saying that to scare you - it's just important that you make an informed choice.

  • Hi Davo, 

    My husband is in a similar situation to yourself, he got his diagnosis on Sept 5th and has just seen a surgeon on Oct 7th, he’s yet to see an oncologist to discuss the radiotherapy side of things, he too thinks he wants surgery but the CNS said they like to make sure you have all information available to ensure you make an informed decision. On Friday, the surgeon said you can’t have a prostatectomy after radiotherapy but you can have radiotherapy after a prostatectomy. Apparently you get more side effects. 
    The first few days are hard, your world has been turned upside down and there’s a lot to get your head around.
    Wherever possible, I made sure we had something to do to distract my husband, eg weekend away, meals out, even cinema, anything to get his mind off this horrible subject. If you feel like talking or reading about it though, do so, there are so many helpful people and books that I found mostly put our minds at rest. Just think about that date, it does come around quickly, you can’t really do anything before then but if it gets too much, I found Prostate UK helpline nurses to be a godsend. Their number is online.

    I hope everything goes well for you BlushFingers crossedPray tone1

  • Hi everyone and thanks for all your advice- it's very much appreciated. I've never quite managed to work out quotes on forums so I won't try on here! 

    My wife has been brilliant. Apart from when I've been for the scans, she's always with me. Good job really as I tend to forget what I'm told! Feeling a lot better today. I spoke with another  CNS and I've actually got an appointment next week to see the surgeon- I just hadn't been notified yet. I'm really sure I want the surgery as I feel it's the right way for me. I know there's potential side effects, but so does paracetamol if you read the leaflet! The CNS told me about the surgery then RT but not RT then surgery. 

    The 3c diagnosis is apparently because it's in the wall as well as the gland but currently no further than that. 

    On the plus side, my 'danglies' aren't aching as much as they were a week ago so that's progress I suppose! 

    Thanks again- helps a lot just to write stuff down sometimes. 

    Davo