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.
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Hi Brian,
I'm sure it won't be long until he knows the way to your local pub like the back of his paw. 
Thank you Brian 
Thank you. And good luck to you going forward
