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RADIATION AND HORMONE THERAPY POST PROSTATECTOMY ARE NECESSARY??

TONY Z
Posts: 3
Joined: Aug 2012

DEAR FRIENDS, I APPRECIATE ALL YOUR ADVISE AND SUPPORT, TODAY I HAVE HAD GOOD NEWS AND I AM VERY HAPPY, MY CT ABDOMINAL AND BONE SCAN DOES NOT SHOW ANY TUMORS OR METASTASIS IN THE BONES.
MY QUESTION IS IF I STILL NEED RADIATION (AND WHAT TYPE OF RADIATION) AND HORMONE THERAPY THAT SCARES ME BECAUSE OF THE BONE DENSITY AND THE AWFUL SIDE EFFECTS??
THANKS AGAIN, BEST REGARDS AND GOD BLESS YOU,

TONY
JULY 10 DA VINCY RADICAL SURGERY PROSTATECTOMY
ORLANDO REGIONAL MEDICAL CENTER
PSA BEFORE PROSTATECTOMY = 4.29 GLEASON 7 (BIOPSY)
PSA 2 MONTHS POST PROSTATECTOMY = .01
PATHOLOGY REPORT = PROSTATIC ADENOCARCINOMA GLEASON SCORE 4+3=7/10 WITH BILATERAL EXTRAPOSTATIC EXTENSION, INVOLMENT OF THE RIGHT SEMINAL VESICLE AND TUMOR PRESENT AT THE RIGHT POSTERIOR MARGIN.FOCI THAT ARE SUSPICIOUS FOR ANGIOLYMPHATIC INVASION ARE NOTED
PERCENT OF GLAND INVOLMENT 20% - BILATERAL DISEASE, PRESENT - EXTRA PROSTATIC EXTENSION, FOCAL - SEMINAL VESICLES INVOLMENT, PRESENT - SITES OF POSITIVE MARGIN, RIGHT POSTERIOR - PERINEURAL INVASION, PRESENT - LYMPH NODES, NO LYMPH NODES RECEIVED.

Swingshiftworker
Posts: 626
Joined: Mar 2010

You apparently had a successful surgery and, while there is a chance that all of the cancer was not removed and that you may need follow up radiation/hormone treatment later, if I were you, I wouldn't worry about it yet.

The main thing I think that you should be concerned with now is simply your physical recovery from the surgery. Even if you have no ED or incontinence issues, you still need to regain your strength and maintain your health following the surgery, which is best achieved w/rest, a "heart healthy" diet and exercise appropriate to your age and physical condition.

Regular PSA testing in the coming months/years will quickly tell you if there's any indication of further cancer growth or not and you can take necessary action, if and when necessary.

If you "just want to know" what options will be available to you later, simply do a search of the threads (of which there are many) here which deal w/the problems & concerns of men receiving post-surgical radiation/hormone therapy.

The most commonly used form of radiation post-surgery is IMRT. There are many different drugs used for hormone treatment in conjunction w/radiation, which vary widely in terms of the nature of the cancer to be treated. You can find the names and possible side effects of these drugs by doing a Google search.

Good luck!

ralph.townsend1's picture
ralph.townsend1
Posts: 352
Joined: Feb 2012

As long as your psa is .01,which is zero and means your in the zero club! YEA! Before I would start HT, are Radiation I would watch the psa! I would not start either one if you have to, and if a doctor thinks you should, get asecond opinion.

VascodaGama's picture
VascodaGama
Posts: 1535
Joined: Nov 2010

Tony

Before deciding on any salvage treatment you should to consider in reading about any consequences and the side effects. They will superimpose on the ones you got now.
The path report indicates high probabilities for recurrence but the PSA level is low and nobody can assure you better outcomes from an earlier salvage attack at PSA levels of remission (lower than 0.06). In my layman's opinion it is wiser to give time to an apparent recurrence to occur before committing to additional treatment. Many guys with your successful results live over ten years with no recurrence.

Now is time to consider recovery from surgery and enjoy the success.

Congratulations on the Zeros.

VG

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