Commencing treatment in a couple of weeks after a well earned break in Rhodes

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Hi all

Diagnosis:

Prostate adenocarcinoma

PSA 44, GS 4+5=9

T3N1, PSMA avid peri-prostatic deposits including anterolateral to bladder and R obturator lymph nodes.

I've added in part Oncologists notes from our first recent meeting below...

                                 ___________

2nd July:
We discussed the diagnosis. Eikcorbs cancer is high risk and locally advanced and of particular note there are periprostatic deposits including one anterolateral to the bladder on the right-hand side that would not be within a normal radiation field. I think it would be possible to extend the volume to cover this area, but it would not be possible to boost the dose.
 
I have recommended that we instead commence treatment with Docetaxel (6 cycles) with a view to proceeding with radiotherapy if we get sufficient response to treatment. He understands that radiotherapy is a potentially curative treatment but this is by no means guaranteed particularly in high risk cases.
Eikcorb commenced hormones on 13th May and I am pleased to see that his PSA has already fallen to 1.9. 
                                    ___________
The idea is for some shrinkage of the nodules initially with Chemo (especially the problem one), then the radiotherapy will be more effective.
I'm happy with this, especially as my Oncologist is going in hard and looking to cure, but just curious what you guys think ? Thanks 
Good luck and all the best
  • Hi Eikcorb

    I think this is the best option if in the node (s) , it's good that specialist sounds relatively positive.

    Yes Def still potentially curable although no guarantee obviously once in node(s).

    So fingers crossed everything will be ok.

    Best wishes 

    Steve

  • Hello  

    That's an interesting post. I think you have a decent oncologist who is going the "whole hog" to get you on a Curative Pathway.

    HT from 13 May should have put the cancer to sleep even though it's a Gleason 9 (it's worked as your PSA has gone from 44 to 1,9).  The 6 doses of Chemotherapy should shrink the cancer and at the end of this treatment he intends to hit everything with Radiotherapy.

    Radiotherapy these days is very targeted and there's a good chance of avoiding any bladder damage so go for it. (I had RT to the Prostate and Pelvis with hardly any side effects).

    It sounds like a cracking plan - please do keep us posted as to how you get on.

    Best wishes - Brian.

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  • Hi  , your consultant sounds to be going after whatever is lurking around and hearing the word curative is very encouraging.  A long way to go, but on the right path.

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.