Jumping ahead, which isn't usually the best thing to do, if there is either EPE (extraprostatic extension -- growth through the prostate capsule or SVI (seminal vesicle invasion -- growth into one or both seminal vesicles), the cancer is no longer prostate-confined
and is termed locally advanced
). The same holds if one or more pelvic nodes is positive for PCa. That said, it is still possible that local radiation therapy can reach all of the malignant tissue if it is localized to the pelvis.
Surgery is one treatment choice usually reserved for younger men, usually under 75. That said, it is done on older men in otherwise good health:Perioperative and functional outcomes of Robot-assisted Radical Prostatectomy in Octogenarian Men
"Conclusions: RARP represents a feasible option to treat prostate cancer in well selected octogenarian men. Careful patient selection and counseling is critical prior to offering surgical treatment for these men."Comparison of perioperative outcomes in elderly (age ≧ 75 years) vs. younger men undergoing robot-assisted radical prostatectomy
(2020, Full Text)
The present study showed that the oncologic and surgical outcomes in the elderly group were similar to those in the younger population. However, the duration of hospitalization seemed to be longer in older patients (age ≥ 75 years), despite similar complication rates."
All of us here have had to learn the value of patience. If your dad has PCa, it has been around for probably quite some time, so a delay before treatment is not going to change the situation. The difficult-to-implement advice is to relax, take one step at a time and put trust in your dad's docs and the treatment that may be advised. A quick googling turned up this: "The high survival rates for prostate cancer continue over time. The overall 10-year survival rate is 98%, and the 15-year survival rate is 96%."
Post Edited (DjinTonic) : 12/8/2020 8:08:57 AM (GMT-7)