Hi all
LH had his face to face oncologist appointment yesterday. He was officially given his TNM stage as T2c N0 M0 with a Gleeson score of 9 and with cribriform present, so an aggressive cancer but contained in the prostate. Because of this the MDT decided that he should be treated with HT/EBRT with 6 months of HT prior to RT and then for a further 2 years afterwards. They also intend to treat the pelvic lymph nodes due the aggressive nature of his cancer, although it was stressed that there was no sign of spread to the lymph nodes at this time and it was just a precaution. He will have 20 fractions over 4 weeks.
There is just one problem and that is tha he has a hernia which has to be repaired prior to radiotherapy and he has been referred to the surgeons for this to be arranged. The oncologist seems to think that this will not delay things but I thought waiting lists for this sort of operation were long. Hopefully with the link to his cancer treatment things will be prioritised.
One thing I forgot to ask about was calcium and vitamin D supplements with the HT. Is this something the GP could prescribe? If we need to purchase them what strength would we need to get?
Many thanks
D4Me
Hello Dogs4me
I hope the meeting has brought some relief and that you now have a treatment plan. I am sure that with a little pressure from your team the hernia operation can be brought forward.
As for the Calcium and Vitamin D Tablets your GP should be able to add these to any medication LH is already on.
It's all coming together and i wish you both well going forward.
(edit Lorraine and I adopted a 6 year old ex racing greyhound yesterday who had been in the dogs home for over 500 days!!).
Best wishes - Brian.
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.
Hello Dogs4me,
It's surprising how once a treatment plan is in place life can settle into a more settled routine especially knowing the HT is intended to put the cancer to sleep before being finished off with the RT. Hopefully the hernia operation will come along fairly quickly to ensure everything is in place for the RT to start as planned.
Best Wishes
Brian
Hi Dogs4me - I had HT for 18 months and had calcium and vitamin D3 tablets prescribed (called iCal). I had my last HT jab Dec 2024, but I'm still on the tablets (plus Tadalafil to help prevent ED). Review of prescription is July 2026! AW
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