Prostate Cancer

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Prostate Cancer

by taylor0722 on Mon May 13, 2019 02:06 PM

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Hello. I am looking for some advice for my best friend. He was diagnosed about 8 weeks ago with Prostate Cancer, and he underwent surgery about 6 weeks ago, where he had all Prostate removed. After his surgery, his PSA went down to 5.? and a few weeks later had gone to 7.?. His doctor did say that one of the Lymph Nodes removed did test positive. They are now planning to start radiation in couple of weeks. My question is: what should he expect going forward and is there procedures that may not be getting done or should be getting done? Thanks for any help>

RE: Prostate Cancer

by desertman51 on Fri May 17, 2019 11:58 PM

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Every situation is different.  What's his Gleason scale number?  That's going to be an indicator of how agressive his cancer is.

Since his PSA didn't go down to even the normal range after surgery and started to rise soon after, I'd say that salvage therapy radiation is a reasonable treatment.  That was my situation; however, he should be getting clear communication from his urologist, radiation-oncologist, and his primary provider.

After I finished radiation, my radiation oncologist predicted that I would have to have further treatment in about two years.  I was shocked because of the number of radiation treatments I'd had.  However, she was spot on.  Just about two years hence, my PSA had risen to well outside the normal range.  I had to start hormone therapy with Lupron.

I would tell you to tell your friend to ask questions, do some research and if he's not comfortable with his providers, ask for a second opinion.

RE: Prostate Cancer

by taylor0722 on Wed Jun 12, 2019 10:20 PM

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Sorry i haven't gotten back sooner. Still don't know friends gleason level, however, i do have a question that maybe you can help with. Does it seem normal to have to wait 6 months after surgery, before starting Radiation therapy? He said, because Dr. said his body needed time to heal from surgery.

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