Histology post-op significantly upgraded Gleason from 4+3 to 5+4 - now hormone treatment and radiotherapy

  • 2 replies
  • 184 subscribers
  • 207 views

Hi,

I’ve updated my profile having been misdiagnosed and also not having had - until very recently - a meeting with an oncologist. Having had my op in December believing the Gleason to be 7, given the histology now revealing an ISUP 5, Gleason 5+4, I’ve had to push to get a meeting with an oncologist, otherwise my surgery team were simply advising a wait a further 3 months (6 months post-op) for a 2nd PSA test before even considering referrals. The oncologist I met last week has now confirmed a 3rd PSA is rising, and therefore has recommended hormone treatment which I’ve now already started, and radiotherapy. I’m still due to receive dates for the start of this, but expect to commence end of May.

I’m both anxious but at the same time feeling I’m being looked at ‘in the round’ rather than just the subject of a very overwhelmed surgery team. Knowing everyone is different and having had the myriad of potential side effects explained, I don’t know whether these are potentially life changing, temporary for the duration of the treatment or actually there are many people who don’t suffer from them at all. I feel extremely lucky post-surgery not to have had any significant side-effects such as leaking, urgency etc, so I may have conned myself into a false sense of security. 

Any advice on going through 6 months hormone treatment and radiotherapy is gratefully received. I”m 57, please see my profile for further info.

Thanks.

  • Hello  

    I am so sorry to read of your PSA results, but your oncologist looks to have your case in hand.

    Hormone Therapy affects us all in different ways - some get almost no side effects, others (me) get all of them. Even with the full set I have never missed a day in work and feel great now. The only side effect we all get is fatigue, so you need to keep as fit as possible. 6 months Hormone therapy should be a doddle - I've had 3.75 years!!

    Radiotherapy is a "walk in the park" - the hard bit is finding a parking space everyday at the hospital. Here's a link to a thread that you might find useful to read:

     What you wish you had known before starting Radiotherapy? 

    I would suggest you keep your eye on the side effects and if you need any help or advice just message us.

    Best wishes - Brian.

    Community Champion badge

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    Strength, Courage, Faith, Hope, Defiance, VICTORY.

    I am a Macmillan volunteer.

  • Thanks Brian

    So helpful, and reading all the comments from everyone's experiences from the link has been extremely useful. I'm surprised noone has mentioned getting through a good audiobook or series of podcasts for the lengthy roundtrips! 

    3 3/4 years of HT is something that I hope has just become second nature without too much of a concern. 

    All the best,