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Cancer: Prostate Message Board
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Old 12-29-2010, 06:54 AM   #1
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Newly diagonsed

I have been diagonsed with prostrate cancer this past week. I had a PSA of 4.69 up from 3.3. Tried antibodics for one month with no change is PSA. Had an ultarsound done which came back negative. Had a digital, negative. The biopsy came back with a gleason of 4+3. the only area that cancer was detected was the upper left lobe of the prostrate and that was 30%. My doctor recommends surgery. I looked at radition and seeds and for someone my age (60) and in good health these option seemed to have side effects I was not comfortable with and there is a chance the cancer will reappear. Is there any medication I can take to cure the cancer? Is surgery the best optoion?

Last edited by buckaluck; 12-29-2010 at 06:57 AM.

 
Old 12-29-2010, 09:43 AM   #2
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Re: Newly diagonsed

Hi BuckaLuck
Surely you are worried with your diagnosis but your status (PSA of 4.69, Gleason score 7) classifies you, in principle, in the Intermediate risk group. The information you provide is not enough to give an opinion for a preferential type of treatment. Nevertheless, radiation therapy has similar rates of success as that of surgery, in Intermediate risk patients.

More details on your clinical stage are needed to decide on a treatment. Such as; your PSA history in doubling time, number of positive cores in the total of the biopsy, prostate volume, results from any image study and Clinical Staging (extra capsular extension, etc.). Get a copy of the pathologist report as it will be important in future diagnosis, if any.
You can find about the several types of treatments in this site; http://www.cancer.gov/cancertopics/pdq/treatment/prostate/Patient/page4

Your doctor got the whole information so that he is suggesting surgery, but he could be recommending you his trade. Is he a surgeon? If yes, I would suggest you to get a second opinion on the biopsy samples and discuss the matter with an oncologist, and then go from there to a specialist of the treatment of your choice.

There are no drugs to cure the cancer; otherwise we would not be here. We would be all cured. The hormonal treatment using drugs is a palliative way of treating PCa. Many guys have chosen hormonal treatment as their prime treatment and have been successfully holding the advancement of the cancer for long periods of time, some over ten years. That also could be a choice for you.

Before deciding in a treatment you should be aware of their side effects. Prepare a good list of questions when visiting the oncologist for the second opinion. You can get a print-out of questionnaires in the net. Just type in a net engine this “questions for your doctor about prostate cancer”.

I hope you get a proper decision for your case.
Have a good 2011.
Baptista

 
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Old 12-29-2010, 11:43 AM   #3
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Re: Newly diagonsed

There is a "sticky" above with a Prostate Cancer Treatment Decision Tool. You can put in your biopsy results and it will show you the recommended options. At the end of it are additional options that include CyberKnife (which is what I opted for) and hormone therapy. I agree with Baptista - get another opinion, possibly from a Radiation Oncologist. It may be worth the 3-hour journey for you to go to Johns Hopkins in Baltimore. It makes a big difference who treats you.
- Allen

 
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