Waiting 6 to 7 months for Prostate surgery

Shalom7777777

Hi friends I am new to this forum. Husband diagnosed with Prostate ca Gleason 7 (3+4) stage II. MRI and PSMA pet scan show it is contained within the prostate. We liven Canada and have a long Queque, so surgery will only 6 to 7 months frm date of diagnosis. Scared to wait so long for surgery. Amy opinions/advice? Has anyone waited this long and been ok? your inputs will be greatly appreciated!

Thanks!

jc5549

Hi there and sorry you and your husband are dealing with this. Do you have additional information such as size of prostate, psa value, number of cores positive and % positive (including % of gleason’s 4)?
These additional details may describe if your husband is Group 2 low, intermediate, or high risk which would add more to answering the delay question.
The good news is in most cases Pca is very slow growing and a six to seven month delay does not change the outcome. I had Group 2 intermediate risk and delayed my surgery for a year.
jc

Clevelandguy

Hi,

I would ask the doctor(s) to look at the scans to determine the location of the cancer. If it’s deep in the middle of the Prostate or close to the edge. As stated above if its small and centrally located waiting for 6-7 months might not be bad. If it’s near the edge and waiting to break through the wall of the Prostate that time frame could be problematic. Is there a shorter wait time for some form of external beam radiation which has about the same remission percentage as surgery?

Dave 3+4

swl1956

This may be helpful:

How much time do you have to treat prostate cancer Dr. Mark Scholz

https://www.youtube.com/watch?v=aotF2SPzCmU

Wheel

Studies have shown regardless of diagnosis state, a 6 month wait from time of diagnosis until Surgery has shown no change in suvival outcome lengths. These studies were done because Doctors needed to know how long was a reasonable wait, because from actual diagnosis to scheduling PET Scans, genomic testing, more scheduling time for appointments for second opinions with Radiation and Surgical Doctors, then surgeons calendar. Certainly some patients get through this under 3 months, I was five, but waited for 6 and 1/2 to get daughter back off to college. I would not worry too much.

Shalom7777777

https://csn.cancer.org/discussion/comment/1723760#Comment_1723760

Thank you so so much for taking the effort to upload this video! This was so helpful and has really reduced my stress levels! Thanks a million!

Shalom7777777

Hello, thanks for replying! and for sharing your information. I have answered your questions below

Age 68. Gleason 7 (3+4) 3 out of 15 cores positive. 2 cores were 3 plus 3, 10% and 15%. One core was 25% positive with 3 being 75% and 4 being 25%. Report says 4 is less than 10%. but when i do the calculation it is 6%. No Cribiform. it is Acinar adenocarcinoma. On both sides of prostate but contained within the prostate. Not sure of the location. Looks like three spots on the prostate, largest one in 10mm. If the prostate is like an oval, one seems to be kind of in one corner, is that close? No spread seen in MRI or PSMA Pet scan. We were classified as intermediate risk. My Surgeon is one of the best in the city and so the waiting list is long. 6 to 7 months from date of diagnosis. Refused to prescribe ADT during wait.

Shalom7777777

https://csn.cancer.org/discussion/comment/1723758#Comment_1723758

Hello Jc5549, Thanks for replying! and for sharing your information. I have answered your questions below

Age 68. Gleason 7 (3+4) 3 out of 15 cores positive. 2 cores were 3 plus 3, 10% and 15%. One core was 25% positive with 3 being 75% and 4 being 25%. Report says 4 is less than 10%. but when i do the calculation it is 6%. No Cribiform. it is Acinar adenocarcinoma. On both sides of prostate but contained within the prostate. Not sure of the location. Looks like three spots on the prostate, largest one in 10mm. If the prostate is like an oval, one seems to be kind of in one corner, is that close? No spread seen in MRI or PSMA Pet scan. We were classified as intermediate risk. My Surgeon is one of the best in the city and so the waiting list is long. 6 to 7 months from date of diagnosis. Refused to prescribe ADT during wait.

Shalom7777777

https://csn.cancer.org/discussion/comment/1723759#Comment_1723759

Thank you for replying Clevelandguy! We have opted for surgery. Yes I will check out the location of the spots. That was a good point to consider I agree.

Shalom7777777

https://csn.cancer.org/discussion/comment/1723761#Comment_1723761

Thank you so much for replying and giving me your information. Can you please let me know your Gleason score and stage if that is ok with you?

Shalom7777777

https://csn.cancer.org/discussion/comment/1723758#Comment_1723758

Srry forgot to mention PSA was 8.5

Wheel

I was initially staged Gleason 8 (4+4). I had other cores Gleason 7 favorable (3+4). I also had cribriform but did not know until pathology after Surgery. After surgery I was also downgraded to Gleason 7 unfavorable (4+3). That was good that your Doctor did not want to do ADT prior to surgery in your husband’s case, it would appear unnecessary and subjected your husband to unnecessary side effects. Have you had genomic testing like Decipher or urine testing called ExoDx, both of these tests can provide information regarding the potential for the cancer being aggressive. I would not be concerned about the waiting time until your surgery.

Shalom7777777

https://csn.cancer.org/discussion/comment/1723769#Comment_1723769

Prostate is enlarged measuring ~ 4 x 4.5 x 5.5cm (vol – 49.5ml).

Shalom7777777

https://csn.cancer.org/discussion/comment/1723770#Comment_1723770

Thank you! yet to get the decipher and urine tests. Will ask for it during our next visit.