Treatment about to start for ductal adenocarcinoma of the prostate

Hello laverick551144 

Welcome to the group, although I am so sorry to find you here.

I am aware that you have an aggressive form of Prostate Cancer and wish to start Radiotherapy as soon as possible. Off hand i can't think of any Community members with the same condition, that's not to say there aren't any.

My only thought that might help is a gel called SpaceOAR - this can be inserted between the Prostate and the Rectum to help prevent damage to the latter during the Radiotherapy. i am aware that some NHS Hospitals are able to finance this protection.

I hope this helps - please do let us know how you get on.

Best wishes - Brian.

Thanks Millibob that is a really helpful suggestion - I will follow that up today!

Look into SPACEOAR to protect your rectum. You may need to do this privately but worth considering.

Rob

Hi Laverick.

In May I was diagnosed with adenocarcinoma of the prostate but with some ductal component. Of the samples taken at my biopsy most were the regular type but a number were ductal. I am being treated privately as I have BUPA cover. My oncologist told me he comes across these cases perhaps once or twice per annum. 

He has recommended a ‘multi-modal’ approach. I started on Zoladex (Hormone therapy), which is planned for 3 years. Six cycles of chemo - Docetaxel. I’ll finish this on 27/11 and then have December ‘off’. In January I’ll have 20 sessions of radiotherapy followed by HDR Brachytherapy. The oncologist is very confident that I’ll be in remission after this lot! 

My Gleason was 4+4 but had not spread outside of the prostate (probably) but I am being treated as though it has spread to the local lymph nodes. Unfortunately the ductal component is not ‘avid’ - it doesn’t show on radioactive scans.

I feel confident going forward even though I’m quite fatigued after each chemo session.

I would ‘push’ your people to get the knowledge they need - it is available.

Best wishes

Hi, your team is going all out and hitting it hard, covering every angle/scenario,  my team is of a similar way of thinking,  you're in great hands!...

Thanks Eikcorb - hope it works out for you!

Thanks for the detailed response - like you my Gleason is 4+4 based on a biopsy of the duct - I have now completed 20 sessions of Radiotherapy and remain on Prostat. I am a bit concerned because at the treatment sign off the consultant said that they did not know if the ductal cancer was 'pure' in other words whether or not some of the cancer was in the prostate. My next review is January. I am doing all of this through the NHS. So, at the moment I am in stasis.

I do hope it works out for you. Even though January is two months away, not much untoward should happen in that period of time - my oncologist said even aggressive prostate cancers grow quite slowly compared to cancers elsewhere in the body.

Thank you ... and likewise for you