Very disappointed that I've had 2 consecutive rise of my PSA (0.08/0.14/0.18) since my RRP last September. Did not expect any rise to be that soon even though am aware that my medium to high risk profile ( Gleeson 4 +3, T2C with PNI (Perineural invasion) and 1mm apical surgical margin) can lead to eventual biochemical recurrence (in years to come) and possible metastasis. That's according to various bonafide research data I've read.
Was referred to Radio Oncologist. Had a 3T Multi- Parametric MRI scan which was thankfully clear. So could there have been possible pre or post surgery local tumour cells leak which PSA would pick up but not MRI? That's my suspicion for what's it's worth . I only hope it is not distant micrometastases! That would really p..s me off!
To wait and see was not an option for me. So Oncologist and I agreed on the following plan: Hormone therapy ( for 2 years) combined with 6 weeks Radiotherapy. Started on Casodex 150mg last Friday. Will be reviewed in 4 weeks time with results of my 4th PSA. Then prepare for Radiotherapy (46 gy? )
My main concern is possible side effects of breast enlargement ( Friends/ relatives told me I could borrow my wife's bra!) and weight gain over any other. I know it varies from person to person.
As I am a fit, lean and toned 65 years old I would not want anything to mess it up! Vanity, you understand! 😜
I guess my good physical health (I have no other major medical condition) would mitigate against those side effects.
I would love any member with similar clinical profile and / or treatment plan to share their views/ experiences with me.
Any other comment/ opinion/advice, etc naturally most welcome.
Thank you and best regards,