Surgery OR Hormone + Radiotherapy

I did originally want RP. I am 58 years old and I am Gleason 9 (4+5) PSA was 12 - given staging as Tc2 M0 N0 and scans indicate no spread and contained within the prostate. No evidence of it breaking out. Found by pure accident as went to practice nurse with an insect bite and mentioned I was peeing more at night. I cannot have surgery due to DVT after a trauma injury so on HT for 4 months with 20 sessions of RT at the end of January. Told no signs of spread of cancer in the seminal vesicle, bladder or bowel or pelvic area from MRI, bone and CT scans. Prostrate is 20cc so cannot have brachytherapy as small. I know it’s a high risk cancer with Gleason 9 but hoping that the RT kills the cancer. They have told me it’s a curative intent. Onco said I was one “lucky boy” it as not broke out the capsule. Must admit though I can’t help thinking as it managed to sneak out whilst I am on HT and waiting for RT. The onco said the chance of that is “nil” as no tetrostone to feed it! 

Andy

Edited by member 18 Nov 2022 at 23:42  | Reason: Forgot to add