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Treatment options for T2C

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User
Posted 26 Mar 2017 at 20:56
I've been given options of radiotherapy, brachiatherapy and surgical removal.

I'm keen to hear from others who were faced with the same options and what led them to make their treatment decisions

User
Posted 26 Mar 2017 at 22:13

I guess you are going to be asked for more information about your PCa so some knowledged member can give you advice , such as stage, Gleason etc. It all depends on that

As far as I'm concerned, my hub has a Gleadon 4+3=7 PSA 4.2. He has been offered robotical prostate removal. Nevertheless still expecting bone scan and pelvic CAT results previous to prostatectomy. I hope nothing new comes out and Da Vinci still continues to be an option.

Anyway we are starting this journey, just wait for Lyn, Julie, Paul, , Chris, Claret and etc etc to give you a response.
I wish everything goes well,

Lola

User
Posted 27 Mar 2017 at 02:28

Hi there,

My husband has a large amount of Gleason 6 (3+3) and is staged at T2c as he has it bilaterally plus it can be seen on a scan. We were given all the same options as you but in addition he was offered Active Surveillance.

Currentl my husband has no appetite for the radical procedures as they feel like an over treatment of a Gleason 6 so has opted for Active Surveillance in terms of UK options,

However with his dad having died of PCa in June 2016 and after much research and three consultations we have decided in addition to have it treated focally in the USA with a focal laser ablation.(FLA)

We arrived in the USA today and the procedure is tomorrow. This procedure does not prevent an RP or RT in the future should that be needed (fingers crossed it won't). This is a privately funded decision however things do seem to be progressing in the UK re introduction of less invasive treatment options for low to intermediate risk diagnosis but they are not there yet unfortunately.

In addition my husband has changed his diet to 100% dairy free ( he was already v healthy- green tea drinking type!) he has also adopted one of the ADD aspirin clinical trial protocols ( low dose aspirin plus vitamin D daily) since 1st January .. His pre procedure PSA has dropped to 2.9 from 3.56 at diagnosis ... Not sure what that's about but his procedure tomorrow has a real time Mp MRI scan so the consultant can 'see' the abnormality as the procedure is undertaken.

Sorry I can't help with advise on the mainstream options but there are plenty of supporters here with lots of experience and wise words in this regard.

Good luck with your decision journey - my mantra is 'time spent on reconnaissance is never wasted' and we have taken 3 months and done a lot of research as this is not a 'slam dunk' decision ...

Just ask if you think I can help further ... Off work in complete PCa focus ATM!

Regards

Clare

User
Posted 27 Mar 2017 at 08:51

Hello Sed the Red. IF you were to give your PSA results and your Gleason score there may be more advice available to you.

My then 73 year old husband went with permanent seed brachytherapy. There are two kinds. Permanent seeds and High Dose brachytherapy. What was offered to you

We can't control the winds - but we can adjust our sails
User
Posted 27 Mar 2017 at 09:30

Hi Sed The Red,

I went the surgical route after taking a long looking at all the options and weighing up the pros and cons. For me, nearly four years down the line, I'm still comfortable with the decision I made despite the side-effects I still have to live with.

At the time of the decision I was a "T1b / G3+4" although post-surgery I was upgraded to T2c / G4+3. 

Good luck in your choice.

Flexi

 

 

 

User
Posted 19 Aug 2018 at 08:20
Hi Sed the Red

I am aged 58 T2c G3+4 PSA 6.4. I was offered active surveilance, prostatectomy or radiotherapy. Active surveilance wasn't for me as without treatment it would be likely to kill me in my expected lifetime. Didn't fancy radiotherapy because in the long term the side effects are similar to surgery but additionally I didn't fancy proctitis (inflammation of the back passage).

So here I am 3 days after Robot Assisted Laparoscopic Prostatectomy. Quite comfortable, catheter is a nuisance but glad I took that route.

Your age is an important factor in your choice. If you are 90 it is unlikely to get you, if you are 45 it has longer to cause damage.

Best wishes

Pitchpole

User
Posted 19 Aug 2018 at 09:11
Hi Sed,

This is a decision I've recently (last week, in fact) been faced with myself. I'm 56 years old, T2C, and have mainly Gleason 3+3 with a very small amount of Gleason 3+4, but my PSA is 32. Because of this, the MDT, urologist and oncologist all recommended HT+RT rather than surgery, so I followed their advice and started HT on Friday. Only time will tell whether or not it was the right decision, but I'm comfortable with it.

Chris

User
Posted 19 Aug 2018 at 10:20

Pitchpole and Chris,

Sed hasn't logged since the day he posted his query in March 2017 :-/

Edited by member 19 Aug 2018 at 19:32  | Reason: typo

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

User
Posted 19 Aug 2018 at 10:24

Oops - didn't notice the date on the post . Thanks, Lyn.

Chris

User
Posted 19 Aug 2018 at 17:40

Thanks Lyn, didn't notice that

User
Posted 19 Aug 2018 at 17:45
Could it be a miraculous recovery?
 
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