Hello BaMAc and husband, welcome to our cozy little club. No, I didn't want to be here either, but that's the way it rolls. It was only back in April when I was where you are now, it is very disorienting and not a little scary, but it seems like you are handling it well by trying to become as informed as you can in such a short time. So here's the good news. First, he is not a candidate for AS - that is good, as it means that prostate cancer aside, your docs think he has at least another 10-15 years before his warranty expires. Second, with the numbers you provide, he has an excellent chance of cure with any of the treatment options you list (and there are a few more as well). Third, and most important, PCa develops slowly, so there is no need to rush to a decision - take your time, gather more information, and try to figure out what is the best treatment plan for you. Every cancer is different, and every man is different, but the folks here are great at helping you work through your journey.
Here are some starter tips.
1) Get a second opinion on your biopsy slides. Dr. Epstein at Johns Hopkins is the go-to guy for this, I am sure someone will post the contact info.
2) Get whatever diagnostic scans done (CT, MRI, bone, PET) that you can get your doctors and insurance to sign off on. It is important to see if the cancer is probably contained in the prostate, or if it possibly has spread beyond. This will affect your choice of treatment.
3) Look into Brachytherapy as well. Depending on your details it is possible that High Dose Rate Brachytherapy could be used as a monotherapy. That has worked well for some.
I myself just finished Proton Therapy a few weeks ago. I had only a few minor side effects that have abated now, and I feel great.
Take care, and ask questions!
Post Edited (Vynbal) : 9/20/2021 7:09:24 PM (GMT-6)