Feb 08, 2012 - 3:36 pm
Hi everyone. would welcome any comments on my case. But first, would like to say that this site is probably one of the best around. Nothing close to it in the u.k. and that is why I have joined.
Anyway, here I go.
56yrs old. went for routine check-up last summer. complained of waking up once or twice during the night to urinate.
This was followed by mri scan and further psa test on 10.19.11.
Im afraid that is all I have at this stage apart from a letter which was sent to my doctor. It reads "Adenocarcinoma of the prostate. Pre operatively Gleason 3+3=6 two cores positive on the right side occupying up to 10%, PSA 3.5, T1C. Laparoscopic radical prostatectomy 12.22.11. Final pathology Gleason 3+4=7, right apex involved (extra prostatic extension) equivocol circumferential margin P3a Nx Mx. Histology from this man's recent laparoscopic radical prostatectomy was discussed at our MDT meeting. Unfortunately, the pathology on the surgical specimen is worse than the pre-operative prostate biopsies had suggested and he has gleason 7 disease with some evidence of extra prostatic extension. I will see him in the clinic to discuss matters with him.It is likely that I will recommend that he considers the RADICALS study which looks at the role of radiotherapy in this situation"
During this last week I have researched the RADICALS trial. It is a 2 part trial whereby patients are randomized to receive different treatment approaches.The first part offers immediate RT or RT following a rise in PSA (adjuvant v salvage). The 2nd part offers RT, RT plus HT for 6months or RT Plus Ht for 2 years. I will be seeing oncologist soon to discuss the best option for my case. I had a brief discussion with a nurse who works with the oncologist and is monitoring the trial. She offered some hopefull words saying I am in a grey area, that the majority of men in my situation do not have bio recurrence, there may be no surviving cancer.
You may have guessed by now that I am being treated by the NHS in the UK. I can not afford private treatment but I can afford to pay for private consultations if any of you guys think this will give me an advantage. I have spent months trying to educate myself and this site is one of the places that I visit often. I'm getting the feeling that for Pt3a,no-one knows what to do next for the best - or when to do it.And so all I can do is make a choice on the RADICALS trial so please if any one of you is familiar with this siuation will you please be kind enough to share your thoughts.
All the very best to all of you.