prostate cancer age 50 TB3 &TURP

sadly my husband was diagnosed with prostate cancer at the age of 50,gleason 4 +3 psa 7.5 all 8 biopies were positive to cancer and they were unable to do Surgery to remove it all as the cancer was already out of the capsule of the prostate and into the seminal vessicles.

he had a TURP to help with flow, and 7 weeks radiotherapy and has stopped his hormone treatment just one year ago now,his psa on treatment was 0.1 then after 6m stopping treatment it was 0.5 then 6 months after it was 0.9,he is due his next 6m test next month,obsviously getting a little worried about next test and what should be done and at what level of psa should any investigations or treatment be done, it is so hard to find information about younger men who have had TURPS and radiotherapy and best treatments any info and advice for anyone with knowledge we would be grateful, his consultant said he is in the cured pile at the moment,but with his history is this possible.

there is also a long history of  breast and prostate cancer in his family on his mothers side and i do worry about BRAC gene but have no support from consultant regarding our son who is 24 just advised to have his psa tested 5 years before my husband was diagnosed but given the advanced stage of the cancer i wonder if checking psa at 30 would be a better option, also I do not want to scare my son, this is the first time I have written any thing and hope someone can help with some good advice,thank you for taking time to read my post x 

On Feb 10, 2012 12:05 PM orchid57 wrote:

sadly my husband was diagnosed with prostate cancer at the age of 50,gleason 4 +3 psa 7.5 all 8 biopies were positive to cancer and they were unable to do Surgery to remove it all as the cancer was already out of the capsule of the prostate and into the seminal vessicles.

he had a TURP to help with flow, and 7 weeks radiotherapy and has stopped his hormone treatment just one year ago now,his psa on treatment was 0.1 then after 6m stopping treatment it was 0.5 then 6 months after it was 0.9,he is due his next 6m test next month,obsviously getting a little worried about next test and what should be done and at what level of psa should any investigations or treatment be done, it is so hard to find information about younger men who have had TURPS and radiotherapy and best treatments any info and advice for anyone with knowledge we would be grateful, his consultant said he is in the cured pile at the moment,but with his history is this possible.

there is also a long history of  breast and prostate cancer in his family on his mothers side and i do worry about BRAC gene but have no support from consultant regarding our son who is 24 just advised to have his psa tested 5 years before my husband was diagnosed but given the advanced stage of the cancer i wonder if checking psa at 30 would be a better option, also I do not want to scare my son, this is the first time I have written any thing and hope someone can help with some good advice,thank you for taking time to read my post x 

Hi orchild57 I have had no convenional treatment and I'm in remission from prostrate bone cancer. What ever cause his cancer is still there.  though the radiotherapy has wipe it out for a while. but  his body will still go on producing secondaries cancer cells  I was told excess sugar was feeding my  cancer so I change my diet to a cancer fighting diet. This is only on of the menny thing he can do to fight his cancer.  I like to talk to you more about this later, but  for now have a look at the link.  http://www.sciencedaily.com/releases/2009/08/090817184539.ht

There is no consensus among doctors at what point to restart treatment after hormonal therapy, so it is up to your doctors experience to make a judgment call after discussing the matter with you. The doctor will recommend that your husband go back on hormonal therapy; this is what the medical community will tell your husband at this time.

Being in the “cured pile at the moment”: Your doctor is likely using the ASTRO (the radiation group) definition of 3 successive rises in the psa or a rise of 2.0 from the low point, as the definition that you have had a cancer recurrence. So technically your husband is cured right now under this definition since he has had only 2 rises. If he does have the 3rd psa rise in a month, then he will be “un-cured”. Usually after radiation, the psa slowly declines over 18-24 months, not go up, so you should be concerned. The fact that it is rising after going off hormonal treatment indicates that there is some cancer left, outside of the prostate. 

About your son, that is a hard one to answer. A few doctors would say get a baseline psa test at age 35 and then depending on the results get a repeat in 5 years. As your son gets closer to the age your husband was diagnosed, he may want to get more frequent (annual) testing.

I think it best to have your son tested between 30 and 35 and not wait until symptoms occur. Better to be ahead than behind. Not sure but some insurances may hassle you over coverage. I hope your husband is OK.