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Cancer: Prostate Message Board
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Old 01-29-2013, 05:55 PM   #1
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Question prostate

my partner 67 is on hormone treatment but has decided to do the Wait and Watch. his psa started at 45 but went down after the injection. he has no symptons and works hard. any one else on here choosing not to have surgery and radiation. thank you

 
Old 01-29-2013, 09:52 PM   #2
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Re: prostate

Hi benkam,
If he's on hormone therapy, he's not waiting, which is probably a good thing with PSA that high. What were his biopsy findings? Any imaging (bone scan? MRI?)? If they show that the cancer has already escaped the prostate, then surgery or radiation of the prostate are of no benefit.
- Allen

 
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Old 01-30-2013, 02:56 PM   #3
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Re: prostate

Quote:
Originally Posted by Tall Allen View Post
Hi benkam,
If he's on hormone therapy, he's not waiting, which is probably a good thing with PSA that high. What were his biopsy findings? Any imaging (bone scan? MRI?)? If they show that the cancer has already escaped the prostate, then surgery or radiation of the prostate are of no benefit.
- Allen
he has had everything but it is still contained in the prostate. they wanted to operate 2 years ago. the psa has come down to 3.3 he does have his psa done every month. gleason 7. he feels so well, strong happy and no sex probs. i think thats why he wont have op or radiation etc. thanks for replying

 
Old 01-30-2013, 04:42 PM   #4
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Re: prostate

Gleason 7 or a rapidly rising PSA while not on hormone therapy are usually the danger signals that it's time to come off Active Surveillance. The problem with continued hormone therapy is that it may eventually force the cancer to become hormone resistant and impossible to contain. The other problems are the bad effects on his health - loss of bone density and muscle mass, hot flashes, cardiovascular effects, breast tenderness and enlargement, loss of sexual desire, and mood changes. But I'm sure his doctor has already told him all this. Both HDR brachy monotherapy and SBRT have very good rates of retaining erectile function (about 80% - especially when erectile function is good to begin with) while curing the cancer. It's something you may want to look into.

- Allen

 
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