Prostate Cancer TReatment

  • 2 replies
  • 149 subscribers
  • 107 views

PSA 5.2. Gleason 4;3=7 . CPG 4 . T2/T3a. N O M 0

Saw Urology surgeon today in Lincoln. I need to see the Oncologist in next week or so. All options available to me , Op, RT, BT, HRT, or

combination of aforementioned ! HRT will be 1 to 3 months, then RT for 7.5 weeks, then HRT tablets 12 to 18 months.

Or I can reduce RT down to 3/4 weeks if I have Brachy. 

My inclination is to have the HRT route, injections and tablets, plus the RT for 7.5 weeks, as above. Not read or heard any convincing

arguments to the contrary yet. Surgeon did say in my circumstances, self contained localised, 80% plus chance of 10 to 15 year 

survival rate, lol! Chances are something else will come along by then.

Interested to hear anyones thoughts on my thought process please.

  • Hello  

    I can't fault you - you have 4 options - it's personal choice, go for the one that suits YOU!! 

    As folk who know me here, I fail to see just how an oncologist/urologist can give you an estimate of how long you will live - we are all different for goodness sake!! I go off FACT 98% of men with Prostate Cancer die WITH it not OF it!!

    Ok, rant over, I had no choice, I had Hormone Therapy/Radiotherapy, I had every side effect going (they were an inconvenience not a problem). Would I do it again? 3 years on Hormone Therapy for a Curative Pathway, YES I would (you can read my journey by clicking on my avatar or name).

    if you have any questions, just ask - I wish you well with your choice.

    Best wishes - Brian.

    Community Champion badge

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    Strength, Courage, Faith, Hope, Defiance, VICTORY.

    I am a Macmillan volunteer.

  • Hi !

    Looking at statistics from studies, trials, and litterature, EBRT together with some type of boost (SIB, Brachy, SBRT) often shows better long term outcome with local control and freedom of recurrence. Adding whole pelvic radiation therapy (WPRT) also adds positive benefits according to statistics

    Often with a boost added they might shorten the use of hormone therapy compared to EBRT alone.

    But, in the end it always comes down to the personal choice and of course what your medical team advice s you to do.

    Best wishes - Ulf