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My father

User
Posted 19 Aug 2017 at 12:00
Hello

My dad was at the hospital this week and has told us he has prostate cancer.

Needles to say I was shell shocked.

He is 87 and extremely private. But I got out of him that he has already known and at this appointment the specialist said nothing had changed but they were sending him for a scan to see if it has spread to his bones - as a precautionary measure.

But he isn't being treated for it and I don't understand why.

The specialist told him not to worry but I don't know if that is my dad just telling me so I don't fret ss much.

Any tips on what I could do next and why no treatment?

He seems very well in himself although while eating well he has lost weight of late.

Thank you!

User
Posted 19 Aug 2017 at 13:24

Hi and welcome to the club,

First of all don't panic as with most prostate cancer the specialists need to find at what stage the cancer is at.

I had  an MRI to help with diagnosis then samples taken to get a Gleason score to find the stage the cancer was at and then Bone scans to check if it had spread beyond the prostate.

It took from April 2016 when i had the blood test that showed a high PSA count to my operation in September 2016 but this is quite normal so no need to worry as every one goes through the same procedure.

If you click on my avatar or anyone else's it will give you an idea of the procedures that you will go through.

 

John.

User
Posted 19 Aug 2017 at 15:15

It may be that when your dad was diagnosed, he chose to have active surveillance rather than intrusive treatment. AS is a sensible choice for some men, particularly those diagnosed with a low risk prostate cancer when they are much older and / or they don't fancy the risk of side effects. My father-in-law was 79 when he was diagnosed but he was still sexually active so he refused the usual treatments due to the risk of incontinence and impotence. He had active surveillance for 4 years.

If your dad is a very private man, he may not have wanted to talk to you about these things as they are very embarrassing, especially for older people.

Download the treatment options information sheet from the website, and ask dad whether he is on AS (regular PSA tests, an annual finger up his bottom and possibly an annual scan (which it sounds like he has recently had)). An alternative is that he was not suitable for surgery or radiotherapy due to existing medical issues or because the cancer had already escaped outside the prostate, but this sounds unlikely if dad is definitely not having ANY treatment ... are you sure he isn't having any hormones?

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

 
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