Just to let you know my dad had a biopsy radiation treatment and hormone treatment for six months at age 78. He is now 94. He was overweight, had a bad knee and hip (hip replaced at 90) and told me yesterday, on his birthday, "I feel pretty good and I certainly have felt worse." Your dad has continued to have colonoscopies which are more dangerous than a prostate biopsy. Patrick Walsh at John Hopkins would be a good person for your dad to talk to. Here is a quote regarding the recommendation to not do PSA testing for men over 70. “There is increasing evidence that this age-based approach is significantly flawed,” said Patrick Walsh, an internationally renowned professor of urology at Johns Hopkins School of Medicine, who co-authored a recent study on high-risk prostate cancer in older men. According to the John Hopkins investigators, men age 75 and older account for 48 percent of metastatic cancers and 53 percent of the deaths from prostate cancer. Without PSA testing and a biopsy if needed, cancer can go undetected, limiting treatment options and longevity.
69 yrs., marathon runner, 39 of 44 3D-CRT/IMRT Radiation delivered via 3D-CRT in 1.8 Gy minimum dose fractions to a total of 79.2 Gy., 10.5.18. PSA .012, 8.12.18, 1.42 June 18, 2018 (Lupron 5.21.18 & 8.15.18), 12.7 May 2018, 13.7 Jan. 2018, 2.1 May 2012. SpaceOar 9.6.18, testosterone <.7, 8.15.18, Tot Mayo 19 ng .17 testosterone Free 6.18.18, Gleason 3+4=7 involving 15% of the right apex and 15% of the right mid, 3+3=6 prostate cancer involving 5% of the left base. Pathology interpretations by John Hopkins, UNM Cancer, and SF Path 3+4=7 or 4+3=7 MD Anderson Proton Center w/o %. T3 MRI w/ contrast 1.8 lesion left side 5P, Neg. Bone Scan. Prolaris test 3.5 consistent with intermediate and a PTEN test negative. Father PC age 78 RT & ADT now 93 yrs. Neurogenic bladder due to lumbar disk disease and recurrent bladder neck contracture with urinary retention man. 20 years doing catheterizations. TURP & scaring 2003, Finasteride 5 milligrams daily since 2002
Post Edited (SantaZia) : 11/19/2018 5:27:25 AM (GMT-7)