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An unexpected diagnosis.

User
Posted 13 Oct 2018 at 16:45

My husband, a 53 year old male, had a scan then biopsies taken about 10 days ago. Yesterday we went together to see the consultant and she confirmed its cancer (T3 because its invaded the spinal vesicles) His Gleason scale is 4+3=7 Gleason group 3. 

He is going for a bone scan on Monday and will have a video conference with Addenbrooks on Tuesday. 

I've been so frightened and I know that's to be expected but I need to be strong for him. During his consultation I just sat there blubbing but he remained very calm. All the way home he kept saying, "I'm so sorry, I never wanted to put you through this" which made me feel terribly guilty. 

His key nurse at the hospital is lovely and gave us loads of info, including this site. Having picked myself up, I registered on here (he's not ready to yet) and started reading all the info and the forums. It was like a calm washed over me and instead of feeling like it was the end of the world, this site completely calmed me down, took away many of my fears and gave me so many positives. 

I look forward to chatting to people and gaining all the necessary information he will need to get through this. 

User
Posted 13 Oct 2018 at 16:45

My husband, a 53 year old male, had a scan then biopsies taken about 10 days ago. Yesterday we went together to see the consultant and she confirmed its cancer (T3 because its invaded the spinal vesicles) His Gleason scale is 4+3=7 Gleason group 3. 

He is going for a bone scan on Monday and will have a video conference with Addenbrooks on Tuesday. 

I've been so frightened and I know that's to be expected but I need to be strong for him. During his consultation I just sat there blubbing but he remained very calm. All the way home he kept saying, "I'm so sorry, I never wanted to put you through this" which made me feel terribly guilty. 

His key nurse at the hospital is lovely and gave us loads of info, including this site. Having picked myself up, I registered on here (he's not ready to yet) and started reading all the info and the forums. It was like a calm washed over me and instead of feeling like it was the end of the world, this site completely calmed me down, took away many of my fears and gave me so many positives. 

I look forward to chatting to people and gaining all the necessary information he will need to get through this. 

User
Posted 24 Oct 2018 at 10:34
It was reported again at this year’s uro-oncology conference that surgery will eventually be stopped for PCa and all men will have versions of radiotherapy / cyberknife / nanoknife / etc.

In 2016, I remember the keynote being along the lines of “future generations will look back in horror” that we used to be barbaric enough to remove the prostate surgically. I suppose this is parallel to the change in breast cancer treatment in recent years; even friends diagnosed with aggressive BCa have had lumpectomies with adjuvant RT/HT and with or without chemo ... mastectomies are no longer routine except in the most aggressive, high risk cases.

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

User
Posted 13 Oct 2018 at 18:44
I think you misheard - there is no such thing as spinal vesicles so they probably said the seminal vesicles had been affected. The seminal vesicles are inside and just outside the prostate so SV involvement is very common.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 15 Oct 2018 at 07:27

Hi Maria B

Please read my profile, I am nearly eight years ,

Early Chemo is now the starting point

Good Luck,

 

PS I am around to answer any ?????

Edited by member 15 Oct 2018 at 07:31  | Reason: Not specified

User
Posted 15 Oct 2018 at 11:34
Hi Barry

Wow just read your story on the profile page. I've just started on the Chemo/Prostap, gives us all hope, well done.

John

User
Posted 15 Oct 2018 at 15:27

Barry I did go and read your profile... every word!

I love the way you add humor into the trauma. Your profile made me laugh through the tears. You have really been through the works yet here you are, like so many on here, helping others. Thank you.

User
Posted 24 Oct 2018 at 00:08
Generlly speaking, men having surgery with a T3 are more likely to need adjuvant or salvage RT/HT and operating on a known T3b is much less likely to be successful than trying to remove a T3a. On the other hand, there is more chance of achieving remission with RT/HT as it can be targeted to include the suspect areas.

It may in part come down to side effects as well - men with T3 are less likely to be able to have full nerve-sparing so ED is almost guaranteed and incontinence is more likely (although not certain) whereas RT may not lead to the same side effects and if they do, perhaps not for some years.

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

User
Posted 25 Oct 2018 at 18:02

Hi Maria,

I haven’t noticed you have told us S’s age, or did I miss it?

I think it’s fair to say that most surgeons want to surge, and most oncologists want to attack you with either their ray-guns or toxic chemicals. The outcomes (morbidity rates) these days are broadly similar.

I consulted with two surgeons and one oncologist before electing for surgery, and all three said surgery was my best bet. Mistake.

I am supposed to be cured now. One surgeon offered non-sparing and the other nerve sparing on one side. It has made no difference as I have no erectile function, but then I have no cancer (subject to another PSA test tomorrow....).

I think my best advice to you and Mr S is to take your time, step back and request second opinions from both another surgeon who is not interested in flogging you a motor, and an oncologist. There are so many “what ifs” with this disease. I think you are entitled to those two additional consultations on the NHS.

I sometimes wonder ‘what if’ I had done nothing and still had hard-ons and ejaculatory orgasms for however long, but we had no idea how fast my tumour was spreading as there was a long gap between my normal PSA test and the raised one.

Click on my profile to get the gory details of my story!

Anyway, I have never felt so well, and the best of luck to you and S whichever path you choose to take. Do let us know.

Cheers, John.

Edited by member 25 Oct 2018 at 18:07  | Reason: Not specified

User
Posted 02 Nov 2018 at 07:49
Don't get treated by anyone who you don't have confidence in.

Check local recommendations if you can and see an NHS consultant privately. They will have time to answer your questions, my oncologist even gave me his personal mobile to call him.

Tell your fella he has to deal with it, you are not his mother, if you push him down a path and it is a disaster he will blame you when it is him that should be making these important decisions with your support but not direction.

User
Posted 15 Feb 2019 at 21:13

Hi Chris, believe me, I've read your profile over and over, including tonight when I got home. I fully understand why you haven't had RT. If they can't pin point where the cancer is, what are the chances of RT getting it? 

This is exactly what Steve's specialist was talking about today. He said that its sometimes not possible to find where the cancer is and he would be very much against RT in a that scenario. RT is meant to target the cancer, not randomly take aim and hope for the best.

On your profile you mention two suspect lymph nodes in your back but then go on to say they won't zap these lymph nodes. Why is that?

BTW I think you are incredibly brave and matter of fact about what's happening. I also agree with your choices. 

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User
Posted 13 Oct 2018 at 18:44
I think you misheard - there is no such thing as spinal vesicles so they probably said the seminal vesicles had been affected. The seminal vesicles are inside and just outside the prostate so SV involvement is very common.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 13 Oct 2018 at 19:20
It’s great you’ve found some help from the site. A brilliant source of info and many great people and the specialist nurses are amazing also. Any questions are soon answered but remember there are no real experts on here , just people who have been or are going through the same as you. I was 48 at surgery sadly. You can click peoples picture and then read their profiles. Fingers crossed for you. PCA tends to mostly move slowly so you have time to read and make good choices without rushing
User
Posted 13 Oct 2018 at 21:05

Hi Maria, scary isn't it! We've all been there, and there's a lot to learn.

Honestly, with what you already know, you have every reason to be optimistic for the future. DON'T PANIC¡¡ There are tens of thousands of us who have been successfully treated, and hundreds of thousands, who have cancerous cells, but don't know it, and die happily of old age, not prostate cancer.

This isn't a cancer which spreads rapidly around the body, its very slow growing and there are lots of ways to cure and/or control it.  The medics will give you advice for the options recommended for you. 

I assure you that fairly soon you'll start to understand it, and it will probably become a concern and not a threat.

PS spinal vesicles indeed 😉😊 As far as I'm aware, these are normally taken out with the prostate during surgery, or blasted during radio therapy. It's not significant.

 

 

 

User
Posted 13 Oct 2018 at 21:43

 

Thank you Tykey, it is scary but today we have both spent the day talking openly about it. Our children are now in the loop and the same with the rest of our family and we do have a large and good family.

Steve's biggest concern atm is a) has it gone to the bones and b) will hormone suppressants make him feminine. Also he's a self employed carpenter and he's obviously worried about his business.  

 

Thanks Lynne, I don't think I misheard but my auto spell checker just tried to correct seminal for spinal and I didn't proof read... sorry. 

 

Thank you Chris, things seem to be moving really fast but I think that's because Ipswich hospital has just done an upgrade clinic for PC and my husband Steve was one of its first patients. He's having a bone scan on Monday and the results will be out by the following day. Reading the forums it sounds like this can normally take weeks, not hours. 

You were young to be going through that sort of surgery. Thanks for the info about clicking on peoples pictures to read their profiles. I don't even know how to write a profile atm. I'm still navigating the site but I'll get there. 

User
Posted 14 Oct 2018 at 00:42

Hi Maria

  I hope you find some comfort on this site. After the initial shock of diagnosis I think we all gather some strength to get on with life and accept that the best thing to do is to get on with any treatment that is necessary and carry on with life as normally as you can.

We have all been through all the uncertainties and worry but there is so much that can be done and so many treatments to suit the individual.  Some aspects of life may change but take each day at a time. Wishing you both all the best.

Gilly

Edited by member 24 Nov 2019 at 16:07  | Reason: Not specified

User
Posted 14 Oct 2018 at 03:40

Hi Maria

 

Welcome to the forum nobody really wants to join. You'll get loads of help and support on here, the Nurses are also top drawer if you need to call them privately. I'm 10 years older than your OH and was diagnosed in August this year, my cancer had metastasized into my hip and I've recently started chemo as a supplement to the Hormone treatment.

Once you get over the initial shock you will both get more focused. Good luck.

 

John

Edited by member 14 Oct 2018 at 03:44  | Reason: sic

User
Posted 14 Oct 2018 at 09:58

I was very sorry to read your story so far. The fact you are a close supportive family will really help whatever you find as you get closer to moving to treatment. It’s one hell of a shock at first to everyone who loves you. I found reading up on the condition and diagnosis really helped, the resources on this site are fantastic and via the helpline you can find men who have been through what you’re facing and have them call your husband directly. The treatment now is more advanced than even 5 years ago with most NHS hospitals having strong prostate cancer teams. If ever you feel you’re not getting enough information or appointments are slow to come up it’s definitely worth chasing. The care is often better than the admin!

Wishing you all the best. 

Mike

Edited by member 14 Oct 2018 at 09:59  | Reason: Not specified

User
Posted 14 Oct 2018 at 10:37

No, he won't become feminine! I've never met anyone who grew breasts, although we always pull each others legs about the potential. He won't be borrowing a lacy bra from you 

What normally happens is that we put some weight on around the midriff and thighs, plus loads of hot flushes. Physical tiredness is probably the biggest worry for him

 

User
Posted 14 Oct 2018 at 10:45
Breasts are a common side effect of hormones and are often permanent but there are things that can be done to minimise the problem.

Have they said that he will be having hormone therapy rather than surgery?

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

User
Posted 14 Oct 2018 at 17:40

Thanks everyone. When I read these replies I feel this calm washing over me. 

Steve and me have talked none stop today about every possible outcome and every possible option and the compromise of those options.... Its been a positive day.

When I read things like "8 years on" it helps to wash away so many fears. Steve isn't reading this site yet but I keep saying, "okay listen to this" and read him a reply or some prudent information and he's starting to listen and become more interested. 

"Have they said that he will be having hormone therapy rather than surgery?" Hi Lynne, to be honest I'm foggy about what they said. The consultant talked about major surgery. The key nurse said he would be pushing Addenbrooks for surgery but that they may not agree. They both spoke briefly about RT and HT but we were bombarded with so much info that neither of us took it in. Steve is saying he wants the surgery. I on the other hand, after reading a lot of the forums here, think its something he shouldn't be rushing into. That said, the consultant stressed that he must decide quickly as time was not on his side. The nurse on the other hand appeared much calmer and hopeful. If hormone treatment starves the cancer, then perhaps he should be having that before surgery? 

We get the results of the bone scan on Tuesday. The following Monday his team will have a meeting and I'm sure the consultant or nurse said something about an online conference with him at the same time... I could be totally wrong about that. The following Thursday which is a week on Thursday, he's over at Addenbrooks for a full diagnosis and treatment plan; so we have 10 days to learn, learn, learn.


You are a bunch of fantastic giving people and I can't thank you all enough. I hope, like you, we can go on to support others in the future.

User
Posted 14 Oct 2018 at 18:58

 

As part of my research I found the below book very helpful. It’s been around a while and is mentioned elsewhere on the forums. The latest edition was updated earlier this year 


Dr. Patrick Walsh's Guide to Surviving Prostate Cancer (Fourth Edition)

https://www.amazon.co.uk/dp/1538727471/ref=cm_sw_r_cp_awdb_t1_yD8WBbXGWWXBQ

I’ve just had the surgery for what turned out to be T3b cancer. I was Gleason 9 and thought to be T2a. So far so good with the usual ups and downs. 

Although I did a fair bit of research it was ultimately the faith I can in my local NHS team that lead to the route I took.

All the best

Mike 

 

Edited by member 14 Oct 2018 at 23:48  | Reason: Not specified

User
Posted 14 Oct 2018 at 19:15
Hi Maria,

I shed a tear or two when I read your initial post just now, in contrast to when I went for my own ‘Big C’ pow-wow with the Multi-Disciplinary Team evaluating my diagnostic results earlier this year, as I had already twigged I had cancer, or PCa as we connoisseurs here call it. I joked with the consultant ‘I am surprised you don’t have a big box of Kleenex on your desk!’. They helpfully recorded our conversation on a CD for me to take away - which I have never listened to.

I was totally chilled, as I had already checked out the morbidity (fatality) rates of different cancers, and it seems, in the words of one of my GPs, “PCa is one of the best cancers you can get”. Obviously, he has never had cancer......Others here who have lost loved ones might disagree, but most men die with it, not of it.

I was G4+3=7 like your man, and had a prostatectomy in June and am now cured.

Calm down Dear, it’s by no way the end of the world, unlike many other cancers. I hope you can get Hubby to come and join us here himself.

Everyone here will endeavour to help you however we can.

Cheers, John.

User
Posted 14 Oct 2018 at 19:57

Thanks Mike, I'm going to go and order that book now. 

Sorry you had to go through this but you sound positive and it looks like things are going well so far. 

User
Posted 14 Oct 2018 at 20:04

Hi Bollinge, I think its good that your team recorded all the conversation. Is that usual ? Next time we see them we will be much more tuned in but I think it would be good to have a recording because from our first meeting with the consultant, Steve and me disagree about what was said!

As a cancer survivor, I wasn't nearly as scared at my diagnosis because like you, I knew before I was told so them telling me was just confirmation with a few added extras. 

User
Posted 14 Oct 2018 at 23:41

Hi Maria,  There is a lot to learn if you want to, I learnt the most after the event.   At the time I had a very simple outlook in that I wanted surgery if it was offered.   I have since read of people who are better having Radiotherapy and others who insisted on novel types of surgery.   I was very keen to get the quickest treatment as near to home as possible as it was near the edge of the prostate, and the depths of winter.

I didn't meet the Multi Disciplinary Team. The Macmillan Nurse rang me at home after the meeting and told me what they said and what she thought they'd offer me.  My next appointment was with the Urology Consultant to be officially offered the options and say what I wanted.  What do I know except that I always wanted surgery and that was based on my experience of having skin cancer which is really rather different.  Later a doctor said that with my post operation Gleason result I'd definitely made the right choice.

I hope that doesn't sound too confusing as I sometimes surprise myself when I read it later.

All the best. Peter

 

User
Posted 15 Oct 2018 at 00:54

Originally Posted by: Online Community Member

Hi Bollinge, I think its good that your team recorded all the conversation. Is that usual ? Next time we see them we will be much more tuned in but I think it would be good to have a recording because from our first meeting with the consultant, Steve and me disagree about what was said!

I think it is standard practice in my local hospital and what a good idea, as some men go into shock when told the news, and so much of the rest of the conversation ends up going over their head!

Most smart phones have a recording function these days.

Cheers, John.

User
Posted 15 Oct 2018 at 00:56

I don’t think there is any area where the patient meets the MDT.

If you want to record the conversation on your phone or whatever, you will need the urologist‘s permission. Some will refuse. 

Edited by member 15 Oct 2018 at 00:57  | Reason: Not specified

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

User
Posted 15 Oct 2018 at 01:05

Correct again, Matron.

On my notes it says there were seven or eight members of the Multi Disciplinary Team, and at my “Dear John” consultation there were only three.

And of course it’s only polite to ask if it’s OK to record a conversation. I wonder why any consultant would object to that?

Cheers, John.

User
Posted 15 Oct 2018 at 07:27

Hi Maria B

Please read my profile, I am nearly eight years ,

Early Chemo is now the starting point

Good Luck,

 

PS I am around to answer any ?????

Edited by member 15 Oct 2018 at 07:31  | Reason: Not specified

 
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