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Advice for a friend with Locally Advanced Postate Cancer

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User
Posted 21 Jan 2019 at 19:37

This post is on behalf of a friend who is 82 years old ,fit and very active  for his age, who has locally advanced prostate cancer and seeks help and advice from forum members.

He is not too good with computers ,which is why I am posting this on his behalf.

He currently has had no treatment and is being seen by at a nearby hospital urology dept. ,he has his own dedicated cancer nurse .

Recent Diagnosis:  Locally Advanced Prostate Cancer.

                            PSA of 22  .          

                            CT  Envirogram shows Multiple  Spinal  and Pelvic  Metastaties

                            It was mutually agreed with his Urologist he did not need to have a Biopsy

He has been offered Hormone treatment and is concerned about side effects ,has anyone had a similar diagnosis who could give any advice ,particularly in regard to Hormone Treatment

 

Thank You

 

 

User
Posted 21 Jan 2019 at 23:06
If he has symptoms the HT should help those.

My dad was on HT for 3 years and he didn't seem to suffer undue side effects.

If he doesn't have any symptoms he could chose to watch and wait and not treat until he does get symptoms.

User
Posted 22 Jan 2019 at 00:46
With spinal mets, he may not have the luxury of waiting for symptoms before he resorts to HT - spinal cord compression is often sudden and dramatic, for example.

I can understand why he is worried about the possible impact of HT - my dad is not having HT until he has to, but he is nowhere near as advanced as your friend. My father-in-law declined treatment and only lived for 4 years but they were happy years uninhibited by man boobs or any of the other stuff.

Could your friend be persuaded that it is better to start the HT and come off it if he can't bear the side effects (which he might not even have) than to not start and then find it is too late?

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

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User
Posted 21 Jan 2019 at 23:06
If he has symptoms the HT should help those.

My dad was on HT for 3 years and he didn't seem to suffer undue side effects.

If he doesn't have any symptoms he could chose to watch and wait and not treat until he does get symptoms.

User
Posted 22 Jan 2019 at 00:46
With spinal mets, he may not have the luxury of waiting for symptoms before he resorts to HT - spinal cord compression is often sudden and dramatic, for example.

I can understand why he is worried about the possible impact of HT - my dad is not having HT until he has to, but he is nowhere near as advanced as your friend. My father-in-law declined treatment and only lived for 4 years but they were happy years uninhibited by man boobs or any of the other stuff.

Could your friend be persuaded that it is better to start the HT and come off it if he can't bear the side effects (which he might not even have) than to not start and then find it is too late?

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

 
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