Im 74, recently diagnosed with Prostate Cancer and will soon start on a multi theraply plan starting with ADT of Casodex (2 weeks) and Eligard ( 6 months), to lower the testosterone. I get seed implants at 2 months and external beam radiation at 5 months. What side-effects did you have to the Casodex or to the Eligard? My health is great, the cancer is confined to the prostate. Gleason scores of 6 and 7.
If your cancer is confined to your prostate please checkout HIFU and FLA. These procedures are far less invasive and most often do not have the same negative side effects. I'm less than a week out from my HIFU procedure and it's almost like it never even happened. Good luck to you.
Thanks for the reply, however my consulting radiologists and urology physicians all agreed that my therapy plan was the best route. I did have a 2nd opinion and was in-line with first 2. I am aware of the complications but these guys have a very high success rate. My husband went through a similar process but had different sequence and was more severe. My options also included doing nothing since my excellent health, physical condition and cancer confined to only the prostate. They all agreed I'd be fine for 5 or 10 years given the slow growth and the advanced age this was discovered. But.. the cancer was found everywhere in the prostate with all scores in the 6 and 7 range. So we elected to take a more aggressive route. I'm an avid skier and mountain climber and am having doubts of these meds slowing me down this winter when I start treatment. These meds are supposed to have fewer problems, but I'm not sure, thus my inquiry to anyone who has taken them. I'll only be on hormone treatment for 6 months max.
Aksn61,
Vous et moi avons à peu près le même âge, avec exactement le même diagnostic du PCa. Gleason de 6 et 7. J'ai choisi la surveillance active. Les restes de ma biopsie ont été envoyés à Prolaris pour des tests génétiques. Il a été déterminé à partir des tests que mon PCa était dans la gamme non agressive. Avec un taux de mortalité de 3 % de ne pas mourir dans les 10 ans. Le traitement peut être très invasif. Avec les résultats du test Prolaris, j'ai choisi la SA plutôt que le traitement.
Thanks for your reply. I will ask my doc about the genetic test to determine the agressive nature of my cancer. Im not familiar with Prolaris, nor has anyone suggested it when my biopsy report came in. We do agree on the survival stats for 5 and 10 years. I don't start anything until January.
My name is Nathan and I live in Oklahoma City, OK. 5 years ago this past April I finished proton therapy treatment for my prostate cancer. I am now 77 and an advocate for proton thearpy. It's painless and presents no side effects like other treatments do. My Gleason was 7. I urge you to check out proton therapy by going to Procure Cancer Centers on the internet. My PSA is now 0.3 and I have many other friends who have had wonderful results with proton therapy as well. We have a center here in Oklahoma City, OK where I live. I now work there as a Patient Transport for the Center.
I am 50 and was recently diagnosed with a Gleason 9. I decided in robotic radical prostatectomy. Had I been diagnosed with a 6 or 7 and I was in my 70s, I would choose active surveillance like roger chose.
While it is true as you say that you may have five to ten years of no prostate issues with AS, the fact is that OTHER diseases may cause you problems in the next ten years.
When you say you'll be on hormone therapy for only six months, I think that depends on just how you respond to it. Some folk are on it for three years, with serious side effects.
I would urge you to investigate all the options including AS, radiation, proton etc.
God luck.
Barney, le score Prolaris a indiqué (mon score) que je n'avais qu'une chance de 3 % de mourir dans les 10 ans. À 74 et 75 ans, ce sont de bonnes chances. Une autre maladie désagréable se présentera probablement au cours de ces 10 ans et je parie que vous n'avez pas une chance de 3 % que cela n'arrive pas. Donc, pour éviter un traitement invasif qui pourrait vous nuire de nombreuses façons, j'ai décidé de garder mes érections et de profiter de ce qu'il reste de ma vie sexuelle. J'ai confiance dans les tests Prolaris. J'ai discuté de ma situation avec leur personnel médical, ils sont très utiles pour toute question ou tout problème que vous pourriez avoir.
I agree that at 75 that is good odds.
and at that age I would enjoy life and stay away from invasive treatment, as you have done.
Thanks Barney, et. al. The ONLY reason I will be using these hormones is to weaken the cancer, and shrink the prostate - not as a "therapy". The shortest cancer guideline timeframe was 6 months, which takes me to the end of the external beam cycle. My urologist and radiologist agree that once the short course is done, my prostate should begin to return to its functionality. In addition they recommend that I stay as physically active as I can throughout the treatments. As a last step, they will start me on a daily dose of cialis for an undetermined period of time. As itt was explained to me, Eligar has a low impact on the prostate itself. I'll be skiing during the first 4 months of the treatment cycle. Im not sure why the National Cancer Center did not include Proton therapy as an option.
Thanks for the clarification.
i suppose the NCC does not include Proton Therspy is because there is very little evidence of its success compared to surgery, radiation and hormone treatment.