I've now officially started treatment, so I'll use this thread to record my journey from here on in.
To summarise, I'm T2C N0 M0 with a template biopsy showing about 60% of cores cancerous, with all but two of those being Gleason 3+3, the other two 3+4. Scans show no bone mets and no indication of lymph node involvement, even though my PSA is 32 (or was in May when it was tested).
The urologist and the MDT recommended against surgery. I've had a long meeting with the oncologist today, and I'm now officially on the HT+RT route. A daily 150mg bicalutamide tablet, and a weekly 20mg tamoxifen tablet to (hopefully!) suppress breast development. Blood test after four weeks to check liver function; if normal the plan is to stay on bicalutamide for two years, if liver function is impaired I'll switch to injections.
The plan is to have RT after 6 months of HT (ie in Feb next year). I asked why not 3 months, and he replied that because my prostate appears to be producing a lot of PSA he wants to give the HT the maximum chance to suppress the cancer cells prior to RT.
I'll be having my RT at the Clatterbridge Cancer Centre near Liverpool, which is the regional oncology centre. I'm told it's a "state of the art" cancer centre, so I feel I'm in good hands.
So, there we are - finally started treatment three and a half months after my initial PSA tests, which feels like an eternity. I asked my oncologist if he thought there was any significant possibility that my cancer was anything other than localised and he said "no", which is reassuring.
I've bought a pill box with compartments for each day of the week, and I'll be taking my first bicalutamide tablet in the morning. Fingers crossed it goes reasonably smoothly!
Edited by member 16 Aug 2018 at 19:45
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