Diagnosis

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Hi all. Just a post about my father’s diagnosis so far. 
PSA of 77 so biopsies were taken. CT scan and bone scan too. 
results are 

T3b N1 M1

Gleason 9 (4+5)

CPG 5

Stage 3. 

Hormone tablets commenced 2 weeks ago. 
First prostap injection tomorrow. 
Appointment with Oncologist on Nov 24th to discuss options/plan etc. 

Anyone else with similar diagnosis. I know each and every plan is individual but just wondered what options there may be for my Dad.  I’m a little confused about stage 3 as when you read up the T3 N1 M1 information mostly it says stage 4. 
Dad is 77 and also has bladder cancer that was diagnosed February 2024, wondering now if maybe the prostrate cancer was present then. 

  • Hello  

    A warm welcome to the group, however I am so sorry to find you joining us.

    I think the "M1" is the difference between Stage 3 and Stage 4 - it's the location of the spread that would make the difference. Has dad had an MRI scan and what did this show?

    Here's a link to our the staging and grading - this might help.

    Staging-and-grading-of-prostate-cancer

    The Hormone Injection tomorrow will stop any further spread and I am sure Oncology will have a plan next month.

    Whatever treatment route dad is offered along with Hormone therapy there will be side effects. The hardest is fatigue so if he can keep as fit as possible it will be to his advantage.

    Feel free to ask any questions, however trivial - you will get answers.

    Best wishes - Brian.

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  • Sorry I pressed enter to soon I was about to say interesting to read we experienced a similar thing on Monday at my husbands appointment. He is T3b N0 M1 and the nurse insisted it was Stage 3b. All the info I had read, including in the MacMillan booklets is that if the cancer has metastasised (M1) it is automatically Stage 4. I don’t think this makes any difference to the treatment but like you I was questioning myself and then felt quite upset because my confidence in what we were being told wasn’t correct and I knew that. However my husband started his hormone treatment the next day and has his first injection in 13 days. This morning I was in a bad place, I’ve calmed now, with support and guidance of the lovely people here and realising the number is just a number really. It’s just very frustrating (and as we have experienced quite a few errors, including a PSA being done without knowledge in a different department in May and then not acted upon. Thankfully my husband, after much nagging from me requested and got a PSA mid July and that’s when we discovered the dreadful lack of action in May). Best wishes for you and your Dad.