Im 78 and reasonable healthy, apart from prostate cancer- and partial deafness.
I am trying to decide whether to have RT. Ive got a low PSA (2.6) but Gleason of 7 ( 4+3) with some local invasion identified by a MRI scan, but no wider (bone) transmission seen. Im on HT which seems fine with no side effects apart from hot flushes . Ive been offered RT - 4 weeks of 5 sessions a week.. The side effects seem more serious than HT, and they worry me. So does the 4 weeks of RT and, I'm told, 6 weeks of recovery. Sounds grim.
In theory I suppose I could duck out of RT and just stay on the hormone injections. But I am told you can't do that for ever (2-3 years max?). HT effectiveness decreases with time and the side effects get worse, and the risk of the cancer spreading fully out of the prostate into the rest of the body, although much reduced, is still there and it would grow again as the hormone effect wore off . So, as far as I can see, there's no long term path via delaying RT and actually some short and then long term risks - I will also be older and less able to cope with RT maybe .
Does all that make sense? Do I really have a choice- other than taking a risky bet that HT will see me through for a few years, with other illnesses maybe taking over as my final undoing anyway!?