The journey and what treatment?!

Graeme 10 hours ago

3 replies
177 subscribers
97 views

I am 60 years old and diagnosed last week. My initial PSA was 23.3 and I was obviously referred to Urology.

My MRI returned a prostate volume of 68mls and a PSA density of 0.34. A 3cm lesion crossing the mid line in the transition zone causing a mild bulge in the capsule with possible extracapsular disease. All was classified as T3a, PI-RADS5. The biopsy results returned a Gleason Score of 4+3 and grade 3. The cancer found was Adenocarcinoma.

Due to the T3a I am awaiting a PET Scan (due to be completed on the 23rd December) to determine any spread.

I suppose the question is what treatment, I do feel that the options haven't as yet really been fully explained, I think they are waiting for the PET Scan results. I have tried to do some research but the answers do appear to be contradicting depending on where you look. There seems to be a lot of USA related material out there but not much that is UK based.

I would be grateful if anybody could point me in the right direction.

Regards

Graeme

Grundo 10 hours ago

Hi Graeme and welcome

I always reckon that once potentially broken through then HT and RT best bet.

HT to quieten it down and RT to finnish it off.

Hopefully u can have a meeting soon after the pet scan and you can get started on the HT initially.

All the best

Steve

Any other questions please ask

Mr U 10 hours ago

Don’t look online. You’re best to wait and ask the medics or ask here. There’s lots of people that’s had the same as you that can tell you exactly what’s in store.

The PET scan will help ascertain if the cancers contained in the prostate and that’s very diagnostic to treatment.

Contained = radiotherapy or surgery both with HT

Not contained = chemo pills, chemo, triplet therapy,

radiotherapy, trails and on and on.

Basically everything could be thrown at you. The proviso is your own health, co-morbidities and of course the main issue is you. What do you want or not want.

So does that help?

It’s a real big change to you and lots of acronyms too.

Don’t panic is the best advice. Ask us on the site for anything. When you get more info, update us, we can help anytime.

Good luck

Alpine Wanderer 9 hours ago

Hi Graeme welcome to our little band of brothers (and sisters).

I’ve looked at your case and it is very similar to mine. To give you some background information, I suggest you take a look at my bio. I had brachytherapy boost, which has an impressive track record of cure rates. However, your consultant will be able to advise you about your suitability for this pathway, should you want to pursue it.

You are starting on quite a rollercoaster ride, but it does appear to have been caught relatively early. Good luck and ask questions about any or all pathways - you will find that we are a cheerful and approachable bunch. AW

More from this forum

The journey and what treatment?!