Treatment options

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Hi there 

My husband has recently been diagnosed with localised PC however with a gleason score of 8, this was a completely random find following a blood test, which resulted in a slightly elevated PSA, (still less than 4).  To cut a long story short the biopsy proves it and we are now in discussions about next steps, due to his age, mid 50s and his otherwise good health the hospital are strongly advising surgery which my husband feels very strongly against having done some research.  Please can anyone offer any personal opinions from having the op and any short term and long term effects this has had, but also is there anyone who had chosen not to go down the surgery or radiotherapy route and if so how has that affected your health.

Would really appreciate some guidance.  Thanks in advance.

  • Hi GC01

    I have responded on the other thread. Do you have his T and N numbers as well as the Gleason Score. An 8 can be vey fast growing - it depends on the other two numbers that make up the 8.

    Kind Regards

    Brian.

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  • Hi Brian

    The numbers are 5 +3 but they haven't told him the T or N numbers, we have another appt this morning so will ask the question.

    Many thanks for responding.

  • The fact that it's localised and was only picked up by the biopsy not DRE or MRI does that mean it's T1?

  • Hi GC01.

    Have a look at my profile which tells my story. I had surgery at 54 and don’t regret it for a moment. I accept that surgery is not for everyone but, for younger men who are reasonably fit and with no significant underlying conditions it is certainly worthy of very serious consideration.

    Good luck in the journey ahead.

    HH

  • Thanks HH that's a really positive story and hubby is same age funnily enough.

    Thanks for sharing.

  • Hi GC01

    I had a Gleason score of 9 T2 N0 M0 and had hormone therapy and radiotherapy. Everyone is different but the only side effects I've had is hot flushes due to the HT.

    You can read my journey by clicking on the picture of my cat.

    As Brian (Millibob) said above, find out the T and N numbers and research as much as you can. There are loads of people on here who can give you advice and support so keep posting.

    Good luck on your journey

    Regards

    Peter 

  • Hi GC01

    5 + 3 is the highest of the 8's and means that most of the cancer cells found in the biopsy are likely to grow quickly!

    T is how far it's spread and N is where it's spread.

    I hope this helps.

    Brian.

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  • Made a mistake on the Gleason its actually 3 +5

  • Hi GC01

    Ah - that's better 3 + 5 - most of the cancer cells will grow slowly although some will grow quickly!

    Brian

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  • hI

    I was going to have surgery and then changed my mind when I saw the potential issues with ED and urinary problems.

    Also he is quite young so def doesn't need those kind of  side effects.

    Having said that some get by with surgery , no problems , so it is a personal thing, 

    You say that your husband is against the surgery so that's probably a good  reason to go with RT which is relatively problem free , although u can have HT issues but these will go away after treatment stops

    good luck

    Steve