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Requesting Opinion on My Prostate Cancer from Experienced People

User
Posted 19 June 2017 18:41:28(UTC)

Dear Sir,

I am Mohammad from Bangladesh. I am 45 years old.

I am writing about my prostate cancer condition and requesting the opinion from experienced people.

I had to take urological consultation in last year, August 2016. Then my PSA (Prostate Specific Antigen) level was 7.1 ng/ml.

I had been taking antibiotic medicine according to the doctor and after four months checking my PSA again and it was 4.1 ng/ml.

Thereafter I had been leading my normal life. And on February 24, 2017, I checked my PSA level found 6.83 ng/ml and Gleason’s Grade 3+3=6/10 by biopsy test.

Lastly, I took consultation from an Indian doctor and he suggested me to take Hormone Therapy (Zoladex Injection) monthly (3 Month) and Calutide tablets 50mg per day without any surgery. Already I have taken two injections.

On June 17, 2017, again I have checked my PSA found 1.37 ng/ml.

Is it the right way to save me from spreading cancer cell? And What Should I do now? Is it needed to undergo surgery early?

 

Kind Regards

User
Posted 20 June 2017 09:44:09(UTC)

I'd be concerned that your PSA isn't lower after two Zoladex injections, but more than that, I'd be concerned that you have not had more thorough investigations. You need to try and access scans to find out if the cancer has spread or not; treatment needs to be based on a full assessment, which should have a TNM 'score' (Tumour / Nodes / Metastases).

 

Good Luck!

.

-- Andrew --

"I intend to live forever, or die trying" - Groucho Marx
User
Posted 20 June 2017 23:05:24(UTC)

I agree with what Andrew says about getting as much information as possible about your diagnosis and then discussing your options with a specialist(s). Even with all this information and guidance it is often difficult for a man to decide what is best for him. A case can be made for and against each type of treatment. It's not just the actual treatment but potential side effects and how an individual feels about the risks that can influence his decision. It is therefore important that the man investigates the various treatments although not all may be suitable for a variety of reasons. Some kinds of PCa respond well to HT for varying periods of time and it is often used to help restrain the cancer and shrink the tumour prior to having one of the several forms of radiotherapy. HT is also often given for a period of up to 3 years after RT. Some types of Prostate Cancer are relatively radio-resistant and cancer cells can mutate but at HT/RT has fairly similar results to surgery. I mention this as appears from the little we know that you may be en route for RT having already been put on HT which is much more rare if the Surgery route is proposed. There are other possibilities such as HIFU or Cryotherapy where actually available and for suitable candidates.

You will gather that Prostate Cancer is a complex subject and although collectively our members have a lot of experience of various aspects and differing results of individuals through their personal experiences, much of which they post, we are just not competent to give individual advice on what is best for you. This may best be obtained from a consultant and depend on whether you are prepared to travel and pay for other options and ultimately your assessment of various possibilities that may be suitable for you.

Barry
User
Posted 21 June 2017 00:19:10(UTC)

Akhlak, it is hard to advise because the process may be very different in Bangladesh - for example, is the treatment available decided by what you can afford to pay?

All I can tell you is what might happen if you were in the UK. At 45 years old, you would be considered too young to just have hormones on their own because hormones cannot cure prostate cancer. The cancer becomes hormone resistant after a while and stops working - if you were 80 like my dad you might be willing to risk that but at 45 you should be talking to specialists about curative treatment such as surgery or radiotherapy.

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


 
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