Jul 25, 2004 - 12:21 am
Hi everyone. Looking for advice on anything and everything (ok.. related to my Dad's Prostate Cancer!) He had what we thought was a benign prostate enlargement 4-5 weeks ago because his DRE and PSA tests have been negative. Oh, He is 73, in great health otherwise, avid golfer.
They did the routine biopsy and found out he had prostate cancer - and found cancerous bladder cells as well. So he has known for about 2-3 weeks now. They ran all the typical scans/ultrasounds. He began having some back pain, headaches and more urinary issues.
An Ultrasound showed a problem with one of his kidneys draining so he went in Friday to have a stent put in his Ureter, Actually his Dr.(Urologist still) was going to put in 2 up through the bladder. Couldn't find the Ureters so backed out.
Dr. Consulted with my Mom, me, my sis, bro etc. after failed procedure and expressed surprise at the growth in the last month. They kept my dad overnight and were able to put in the stents through via the Kidneys. Came home tonight(I think). We pressed Dr. for prognosis because the Dr. stressed how aggressive this is. He said 3 months if we do nothing and that it wasn't curable barring a miracle. And really wouldn't say if we treat. 6 months to 6 years, but got the impression low end of that. Was leaning towards the seed before he saw the new growth. Guessing the growth was interfering with the ureters emptying into the bladder. Scan on one lymph node that was enlarged came back negative so all we really know is that it is in prostate and bladder - probably some surrounding tissue, but don't know enough about that. Gleason 10, Stage IV, No known Lymph nodes. Bones are clear.
We live in St. Louis. He is getting the hormone shot Monday. Getting the temp. drains from stent implant out Tues and talking more to Dr. Not sure when he will talk to oncologist.
1) Read that John Hopkins is top place to go? Is that true? Dr. Recommendation? St. Louis has some good hospitals, any recommendations here?
What treatment option would you pursue? I would think that even though it is Gleason 10, it is somewhat contained because has only showed up in the Prostate and Bladder and surgery to get it out would be best bet?
Dr. indicated that Chemo wasn't that effective against this type. Is that true?
What am I missing? What questions do we need to ask? I don't think he will see an oncologist(Dr. is referring him to one) for a few days. Seems like he should be able to talk to an oncologist Monday and not have to wait a few days.
Thanks for any and all advice!!