Hi what’s people’s thoughts experience on leaving primary tumor
treatment adt + 2nd generation
Hi Jim. There's usually no point in removing the prostate when your cancer has already spread my friend. ADT, followed by RT/Chemo"maybe both", will be much more effective. I too am Gleason 10 and had mets in 5 organs and 7 lymph nodes, after treatment cancer was only detectable in 1 node, so a very good treatment
Eddie
Hi Jim, I'll be 60 in a month. I'm retired, 1 year before diagnosis and could work if I wanted to, I've had 1 PSMA PET CT in 3 1/2 years, though not really relevant in MY situation, 8 weekly PSA's & MDT meetings are sufficient. Is your appointment at the Beatson?, it's an excellent hospital and hopefully they'll have the answers your looking for.
Eddie
That’s good you have retired all your focus can go on your health I hope you are still enjoying life. I hope for a pmsa pet scan as I only have one distant lymph node in rectum would confirm or deny metastasis. Trying to think about retirement early or carry on working
Life's different my friend, but I'm still enjoying it and plenty of holidays, we're 7 down with 5 to go for the year, and hopefully a few weeks in Australia just after Christmas, sorry you may have lymph node involvement in the rectum, I had 2 mesorectal nodes infected, and an unrelated beninge rectal tumour which were all treated successfully, as for retirement I've never regretted it, but we're all different, but listen to your body and follow your heart.
Eddie
Hi Jim, as I had quite a few metastesees to the lower pelvic area, the whole area was targeted with radiotherapy RT, with a very high dose of radiation 75 gy over 20 cycles, though the EBRT machine is able to be programmed to minimise damage to the most vital areas, there is damage to healthy cells, but as we say they will recover, the cancer cells won't, and being positive is so important my friend, a young girl summed it up when she said, I have cancer, cancer doesn't have me.
Eddie
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007