Confused by the oncologist and urologist

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Hi can anyone help me..

I am confused about two conversations.

1- urologist said my psa has gone up 1.4. The pet scan was inconclusive and he said i should wait to my psa goes up to 4. Then have a psma pet scan again to find where the cancer has gone his suspicions was nodes or bone. So then we can plan the best treatment.

2- oncologist said he wants to put me on Bicalutamide 150mg for 1 to 2 years, with breast bud radiotherapy and 20 days of radiotherapy to the prostate bed, soon as possible.

I'm not happy with any of the two lol, but something has to be put in place. Please has anyone been in this predicament as im pritty much leaning to the urologist.

Grundo 2 months ago

Hi N

What have last few PSA s been.

What did MRI say

Have u had biopsy if so Gleeson?

Regards

Steve

Millibob 2 months ago

Hello Nobody1b4d4af

So let me guess - you have had your Prostate removed and you have rising PSA? Since surgery what scans have you already had and what were the results?

It would help us to help you if we had a little more details - can you please update your profile? (you can read mine by clicking on my user name or avatar). To update yours on your home page click on the chair - top right, then "profile" then "edit". Once you have added to your profile don't forget to save it.

The more information we have - the better our reply.

Best wishes - Brian.

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David2017 2 months ago

Hi Nobody1b4d4af My logic is as follows - you were initially diagnosed as PCa but no spread, so surgery to remove the prostate but now your PSA is rising. A PSMA PET scan hasn’t helped to locate any spread, so that is actually good and sounds like it is a local spread. Therefore Option 1 sounds odd to me - let’s do nothing and see what happens. Option 2 would definitely be my choice. Hit the area with RT and if that is where the problem is, it will be cured. HT helps prior to RT so that sounds right in my book. I would definitely question the breast bud RT (depending on your age increases risk of Breast cancer in future) but if you are overweight already, that might be the reason.

Best wishes, David

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

Nobody1b4d4af 2 months ago in reply to David2017

Hi radition to the breast buds is to stop gynaecomastia as biaculamide 150mg is one of the main side effects.

Millibob 2 months ago in reply to Nobody1b4d4af

Hello Nobody1b4d4af

Nobody1b4d4af said:
radition to the breast buds is to stop gynaecomastia

There is plenty of oral medication that can stop this process - I don't think I fancy having my breast buds "zapped".

Hormone Therapy has a long list of side effects and yes, enlarged breasts is one of them - you don't get all of them and some people don't get any.