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Biopsy results at last

User
Posted 14 Dec 2016 at 23:29

Hi Martin

 I have been diaognised with PCa in  early october 2016. My PSA was at28, all of the 12 biopsy samples turned positive with 15 to 80%. gleason 8. Luckily bone scan turned _ve.MRI confirmed that the cancer is within the gland. Specialists adviced me to go with RT and HT as their first option since mine they consider as high risk mainly because all samples turned +ve and PSA IS 28. I have to do   RT even if I do surgery  which was the second option.. Initially I wanted to do surgery thinking that it will clear me of cancer for ever, but that is not the case for me.

I decided to go with RT +HT and On 12 dec  I had my first injection of HT. We have IMRT here, but I am still searching whether there is a better option in europe or UK.

From what I learned so far, surgery looks good for you . However your specialist will b the best person to advice after analysing all the results. As the PCa progress very slow, the test results will not change much within 3 months. I think they will do the MRI scan once again before starting the  treatment. 

 

 

 

 

 

User
Posted 14 Dec 2016 at 23:45

Ah Metaxa, we have a shared professional interest as well!

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 22 Dec 2016 at 15:55

Thanks all, your responses are very much appreciated.

Lynn - us childcare pro's seem to pop up everywhere nowadays! :) What area of children's services do you work in? I'm in the private sector working as a placements manager - residential and fostering. It's been a busy few years!

Apologies for not returning sooner to acknowledge your posts. I realised a week or so ago that I had become overly obsessed with my PCa diagnosis and was spending too much time on the internet researching. This led to sleeping issues, fatigue and very low mood. I made the decision to concentrate on other areas of my life; work, family, hobbies, Christmas etc. to distract myself and regain some normality. It seems to have worked and I feel in a much better place now.

Progress:

I had my meeting on Tuesday to further discuss my diagnosis and treatment options and everything seems a lot clearer. Whilst a PCa diagnosis can never be a good thing, at this stage, the probability of a successful outcome is looking good. I know there's a chance this could change following treatment, but I'm taking this a day at a time and hanging on to the positives for now.

- Gleason score of 7 was confirmed to be 3+4.

- Although 8 of 13  cores were positive, percentages were low with several showing just 1mm of the 20mm core being positive and the highest being 7mm.

- Everything so far suggests the cancer is well contained within the prostate capsule with no indication of spread to the lymph nodes.

- Nerve sparing definitely possible for one nerve bundle and probable for the other, but the decision will be taken on the fly during surgery

I've decided on surgery as my treatment option and have been booked in for an RP (robotic) on 11th January. The surgeon was very reassuring and answered all my questions with comprehensive answers, drawing diagrams where necessary and going the extra mile to make sure I fully understood everything we discussed. I feel like I'm in good hands. He will have a 'fellow' with him in theatre, but reassured me he would be doing all the nerve sparing work and remaining very much hands on throughout the procedure.

For now, I'm looking forward to a relaxing Christmas weekend and then a full on crash diet and exercise regime to make sure I'm as match fit as possible.

Martin

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You never know how strong you really are until being strong is the only choice you have.

 
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