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    Decision Point: HT and Radiation or study of Chemo and HT?

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    Procedure or Surgery (Laparoscopic radical prostatectomy)

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    My husband is 58 and had a quickly rising PSA starting last fall. In January,
    his Gleason after biopsy was 9. He had his prostate removed along with a lymph node. The cancer was miniscule in the lymph node and was also in the seminal vesicle. His local oncologist sent him to a Doc at Hermann in Houston. He is watching the PSA. It has gone from .4 six weeks after surgery to .5 nine weeks and 12 weeks after surgery. When it goes up, he suggests going on a study he has involving combination of chemo and hormone therapy. In the meantime, we went to MD Anderson in Houston for a second opinion. The doc there suggests salvage radiation. The PSA in their lab has stayed at .4. They have done CT scans, bone scans and MRI's and none have shown any VISIBLE cancer. So what do we do now? HT and Radiation on something they can't see which seems to be the standard treatment, or the study with chemo/hormone therapy that hasn't been shown to work, or watch the PSA and see what happens over time. I have put him on a strict no meat or dairy diet. But he was 80 % vegetarian when this all came about. I'm leaning toward the HT and chemo. Radiating blindly seems more dangerous. They admitted it only would have a slight chance of hitting the cancer cells.
    Any suggestions?

    2 Comments
    • mgm48's Avatar
      mgm48

      I can't tell you what to decide. I have truly learned that everyone is different. I'm living proof of that. I switched to an oncologist who would "do" something that I could understand and for which he had good reason rather than the oncologist who wanted to wait and see. It wasn't the idea that anyone was right or wrong, it was a personality thing. My personality is "type A", I'm aggressive, so the active doctor fits my personality. I feel that's important.

      My experience with chemo is atypical, but my doctor said that my generally good health was a good indicator of my tolerating chemo well. That has been an understatement. My side effects have been limited to some (not complete) hair loss, injection site vein scars, and some slight blood count impacts. And my PSAhas responded very well. So, I'm the poster boy for Docetaxel but I'd never want to make the decision for anyone else. That's up to you and your doctor.

      Please feel free to check out my story. I've made many posts with a day by day of my first chemo cycle. I've been through lots of stuff. And reading others stories has been helpful.

      I would be so bold as to make one recommendation. Take charge of your condition and decide to do it from a positive point of view. I have seen positive people get better care and all of my care team has endorsed my positive attitude as a good thing for my condition. Every black cloud HAS a silver lining.

      Keep it positive and smile :)

      over 4 years ago
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      terrie

      Thanks mgm48 for your help. He is working at a more positive outlook and I think he realizes how important that is.

      over 4 years ago
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