Pathology report in - should we commend with HT?
*THREAD TITLE ADJUSTED 16/8 - Surgery was performed on this day, and related questions are further down the thread.
New to the board and desperate for your knowledge.
My Father in law has been diagnosed with PC, result of the biopsy is Gleason 8 and his PSA is 24. Based on his medical records the PSA appears to be doubling yearly (don't ask why this wasn't addressed earlier, it's not a nice story!).
His bone scans and MRI came back negative for mestastatis, and he has no symptoms.
From all of my research it seems to me like surgery ASAP is the best option. We're all extremely worried about the cancer being aggressive based on the numbers and don't want to give it time to breach the prostate.
However the doctor has reccommend three months of hormone treatment first, including a monthly injection and pills to diminish testosterone. I understand that the reccommendation is based on making the surgery safer, however as the PSA is doubling yearly at a rate of almost 1 a month, that seems like a long time to wait.
And here's the serious part: He's in China. Chinese hospitals are fairly dark. If they can make an extra 10,000 in treatments prior to the surgery, they probably will regardless of his biopsy results. This is the main reason why we're seeking a second (or third) opinion (this week), but I'm fairly wary of the reliability of the system here from experiences passed down by other people.
I hope you can help. If I sound frantic, I am! I feel as though this is a race against time and I'm not comfortable with his biopsy numbers at all. If someone can give me any advice regarding how 3 months of hormone therapy would benefit the surgery, how it works exactly (does it actually stop cancer cell growth, or reduce its size making it easier to catch-all with prostate extraction?) I would appreciate any information you have.
Thank you so much for taking the time to read this.
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