jmg, welcome to the forum, so sorry about
your husband’s diagnosis, with that high PSA, a g9, and apparently, evidence of lymph node involvement, it’s a tough diagnosis, but be aware, it’s treatable as a chronic disease, most often. Prostate cancer, even the aggressive kind, is slow moving, and as I said highly treatable.
Here is an article about
a study, published in the newsletter if the American Society of Clinical Oncologists , that states.... “.In a long-term follow-up of a phase III trial reported in the Journal of Clinical Oncology, Hoffman et al found that dose-escalated moderately hypofractionated intensity-modulated radiation therapy (HIMRT) improved disease control and reduced treatment duration vs conventionally fractionated IMRT (CIMRT) in localized prostate cancerhttps://www.ascopost.com/news/59216
You will probably find articles that state the opposite, but that’s the nature of prostate cancer, we often find that we need to make our own decisions, after much research and with guidance from our Drs.
I am not going to offer much more advice as there are others here who will show up soon that have first hand experience with this type of diagnosis and are thus more knowledgeable than I.
Your husband is lucky to have you by his side, looking for info.
Suggestion, go to your profile page and create a signature with your husband’s virals, details on biopsy, his age, etc. it will help others respond to you in the future without having to dig back in the past to find your stats.
Good luck, and stick around for more detailed responses.
I am not a doctor, just another guy without a prostate
Dx Age 64 Nov 2014, PSA 4.3
BX 3 of 12 cores positive original pathology G6
RALP with Dr Ash Tewari Jan 6, 2015
Post surgical pathology G7 (3+4), - ECE, - Margins, -LN, -SV (+ frozen section apex converted to negative)
PSA @ 6 weeks 2/15, .<02, remained <0.02 until January 2017, .02, repeat Feb 2017, still .02. May 2017-.033, August 2017- .033 November .046, March 2018 .060. June 2018 .068, July 2018 - .082, August 2018, .078, August 2018 - .08 Start ADT. Sept 2018 Start SRT
Sept 2018 thru November 2018 – T = 4, PSA = <.05
Decipher test, low risk, .37 score
My story.... tinyurl.com/qgyu3xq