Good morning all.
Dad is diagnosed with Gleason 9.
T3bN1M1.
He has his first appointment with Oncologist on 24th November. I know everyone is different and has different treatments but just wondered if anyone has a similar diagnosis and what your plan is. He is seeing a medical oncologist which I believe would indicate drug related treatment.
He is on hormone injections for life and had his 1st one 2 weeks ago. Thank you in advance.
Hello Jewelse2b714
I am a T3aN0M0 Gleason 9 (5+4) and it's been Hormone Therapy/Radiotherapy for me. I appreciate not the same diagnosis but I would have thought with dad's diagnosis they may throw in Chemotherapy as well for good measure depending on the M1 where it's spread to.
Here's a link to help you plan your questions for the meeting:
Questions-to-ask-your-healthcare-team.
I hope the above helps. please do let us know how you get on.
Best wishes - Brian.

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Hi Jewelse2b714 , as you say, we are all different but your dad has a similar diagnosis to me. Initially, I was diagnosed G9 T3bN1M0 which was treatable but not curable (now it might be curable with advances in treatments). After 5 years the M0 became M1 in my case, so I share that with your dad.
The key in this is the M1. Do you know where and how much bone spread? Sometimes these mets can be zapped with the aim to kill the cells, but sometimes it is not accessible or too numerous to treat, in which case HT and chemo are systemic treatments used which can give many additional years. RT attempts to hit the primary source and kill the bad cells in the target area.
I have been on HT for 8 years and it is tolerable but I do envy the guys who are able to stop it!
Please come back if you have any questions.
Best wishes, David
Please remember that I am not medically trained and the above are my personal views.
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