Your situation is so similar to ours. The more opinions you get, the more opinions you get
This is such a personal decision and I feel that your uncle truly has to be onboard with whatever treatment in order to win this. When we first met with the RO and Oncologist, my father didn't want to hear about
RT and HT. We (my mom, husband and I) were really worried, because from the studies we read, we felt that RT and HT were his only chance (if any) of a cure, which some will say that once it has spread to the lymph nodes that there is no cure, but I have read cases where with local lymph node involvement following radiation and HT, men have done well for YEARS. My father's urologist, who diagnosed the cancer, recommended not doing RT and waiting to start HT, similar to what your urologist said. However, studies have shown that with lymph node involvement, men have done better starting HT immediately. We also based our decision on another study that showed the 5 year recurrence was much less for men who did RT and HT. This is a new study, your urologist might not be familiar with. This was our only chance to do RT, because if the cancer spreads, RT is no longer an option. Therefore, my father agreed to do 8 weeks of RT and 2 years of HT. He just finished his 8th week on Tuesday and will have his first PSA in three months. The RT was very tolerable and we are praying that it nuked any cancer remaining. There are obviously no guarantees. Best case scenario, we are hoping for a cure. Worst case scenario, we hope that it has bought my father more time, until they find a cure. Best wishes in your treatment decision. Gather all the info you can, and don't look back. Second guessing doesn't do any good.
DX July 15, 2007
Age 62 (now 63)
Original Gleason 3+4=7
Post Surgery Gleason- 4+3=7
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin
One positive node
Bone Scan/CT Negative (Sept. 10, 2007)
T3a N1 M0
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07
Lupron beg. Dec 03, 2007 2 yr
Radiation started March 03-April 22, 2008- 8 weeks 5x a week
8 weeks of radiation down!!!
Praying for a cured dad. First PSA 3 months!
Post edited to single space signture...
Post Edited By Moderator (bluebird) : 4/26/2008 9:42:06 PM (GMT-6)