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Gleason 4+4 T2 waiting for CT and Bone scan

User
Posted 17 Aug 2026 at 12:35

Morning All,

so Saturday I was given the news I Have prostate cancer at 47. With Gleason 4+4 and T2. I’m now waiting on a CT scan and Bone scan and must admit bricking it. Sleep isn’t happening and shoulders are now very tight with the matching stress headache. 

So far they have discussed surgery or HT and RT obviously all dependent on the results of the scans. Every time I get a little twinge I’m thinking it’s spread. Really is playing with my head now. 

User
Posted 17 Aug 2026 at 14:10

Hello Mark,

So sorry you find yourself here, however there's lots of very helpful people, info and advice on this forum.

We've been where you are, waiting for results is hugely stressful and worrying. It's very hard to think of anything else but it does get easier once a plan is in place for treatment. 

I was a similar age to you (48) when diagnosed. Whilst waiting for my bone scan results I was convinced the pain I was having in my big toe must be the cancer. Luckily all was clear and it was more to do with my poor football skills that caused it!

If you don't mind me asking what was your PSA result and what brought you to be tested?

Generally prostate cancer is slow moving so you should be able to take your time choosing which treatment path you want to take, don't feel rushed. 

I took the RT/HT route in the end, if you click on peoples username's it will take you to there profile which most people use to detail the diagnosis and treatment

There's a useful video that goes through the various treatment options, I see if I can find it, someone else may well beat me too it!

All the best

John

User
Posted 17 Aug 2026 at 14:18
User
Posted 17 Aug 2026 at 14:47

Hi, Mark.

Im sorry to hear that you've been diagnosed with prostate cancer, but welcome to forum, mate. You'll get plenty of help and support here.

I can't really add much to what John has said. It would be helpful, if you don't mind, giving your PSA level. Your T2 staging is good news indicating that the disease is prostate confined. Hopefully, your CT and bone scan will confirm this.

You and John are younger than most of us old codgers. Its a shame that PCa has entered your life at an earlier age, but it means you are more likely to be fitter and stronger to deal with it.

Please keep us updated, and good luck with your scans, and whatever treatment you chose. 👍

User
Posted 17 Aug 2026 at 15:06

Hi both thanks for the replies, my PSA was 8.2 when I had my blood test. I was on Mounjaro for weight loss and was going to the toilet a fair bit, I was in Mounjaro chat rooms and could see that other people were saying the same about going for a number one a lot and how it’s part of the process. 

Then I watched the new series of Clarkson’s farm and thought I need to get the checked out. Blood test was done and the PSA came back as above, onto a MRI that showed a Pirad 5 thing on my prostate. I was then forwarded for a biopsy on the 28th of July where 11 of the 29 samples taken had cancer. 

That brings us to Saturday where I was given the news.  

User
Posted 17 Aug 2026 at 15:43

Hi Mark - one of the old codgers here!

I have been on the PCa journey for one year now and have had Hormone Therapy combined with Chemotherapy - what is known as Triplet Therapy.  This week I will be discussing Radiotherapy with my consultant....

The early stages are an absolute whirlwind - your mind will be all over the place and you will likely be petrified about the future - however, things do get a bit better once a treatment pathway is identified and then started upon.  We have all been there and loads of t-shirts in all sizes have been bought!!!  I proudly wore my Man of Men PCUK t-shirt to each of my chemo sessions!!

I would suggest that you have a look at the publications section of the PCUK website and get hold of their Toolkit - this is a pack which contains a lot of very useful information.  Each section usually has a set of questions which are a useful prompt for your meetings with medics.  I was pleasantly surprised that my CNS was one of the contributors to the information leaflets.

Personally I have found the Headspace app very useful - their Coping with Cancer course was helpful in the early days and I still use it for a little calming meditation.

There is lots of support on here - ask your questions, have a grumble, rage at the world - we will listen.

 

Best wishes - stay positive

CeePee

User
Posted 17 Aug 2026 at 15:43
and don't forget to have a look at our profiles by clicking on our names or roundels

Best wishes - stay positive

CeePee

User
Posted 17 Aug 2026 at 16:33

Hi Mark,

Very well done for being proactive, you've saved yourself from potentially a much more difficult and less treatable position. Mine was luck, or more correctly having a very thorough nurse checking lots of things include a PSA test when I went to the doctor for something else.

As Adrian your staging suggests prostate confined which gives you lots of options for treatment and likely a curative path. I was told the bone scan was done as a matter of routine, in fact mine was scheduled before the biopsy results were back. Your PSA is also relatively low, it can run into the 100s or 1000s in advanced cases

Good luck with your scans

John

 

User
Posted 17 Aug 2026 at 16:59

Hi Mark HS,

I note that no one has replied from the surgery option.  So I thought I would add some balance.  I am another more mature sufferer.  I was 64 when I had my PSA result of 9.8 and a second result of 8.  The MRI found I had prostate cancer and as I have ulcerative colitis my only choice was surgery.  I had my prostate removed in June 2024.  It was a 4.5 hour operation via the NHS and I was in hospital for 2 nights, most operations are a one night stay.

It is a major operation and I was incontinent for 5 months.  During that time I had to wear pads and did have a few accidents, as sometimes during the healing you build up a bladder full while sat down and when you stand up it all gushes out.  The worst one was in a cafe.  I also had two water infections during the recover process.  It was the week before Christmas 2024 that I finally could control my bladder.  That said, I do have the odd very small accident if I over exercise or have a bad cold.  Despite all of this, I am glad I had the operation as the prostate was examined after the operation and my grading was increased as the tumour had broken out, thus there was a higher risk of spread.

If you have been reading around then you may have seen people calling this a couples disease.  It is very true and please be aware that any partner you may have will go through this with you.  If you opt for surgery then a key question is do they think it will be 'nerve sparing'.  If they reply it won't be or is very unlikely to be nerve sparing then this means you are very likely to never have a natural erection again.  I was 'non-nerve sparing' and have never had an erection since the operation.  I know this will sound strange, but my sex life has never been better as we have found so many ways around the need for an erection - see my other posts.

These are the headlines and not all the detail of the surgery path.  Again if you read around you will get way more detail or if you ask more on this thread I will be happy to answer any additional questions you may have.

 
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