This is an update regarding my 79 year old father who was recently diagnosed with PCa (Gleason 9, PSA 14.1, 12 core biopsy, all of which contained cancer).
I originally posted about my father's PCa diagnosis here: healthunlocked.com/advanced...
The CT and Bone scans both came back as negative regarding the PCa having metastasized. With that being said, the urologist said he would not be surprised if it has microscopically spread (micro-metastasized) based on Gleason 9 and 12/12 of the cores coming back as positive for Adenocarcinoma PCa.
His recommended course of treatment is 8 weeks of IMRT (after 8 weeks of ADT) and 2 years of ADT and 3 month intervals for monitoring PSA levels. ADT would be Bicalutamide and Eligard.
I asked for a PET scan and he said there was no clinical reason to do so.
On Monday we will be travelling to University of Michigan's Rogel Cancer Center for a second opinion. We meet separately with a Radiologist Oncologist and a Surgical Oncologist, but both are part of a "multi-disciplinary team" for PCa.
These URLs are scans of his pathology report:
14.100 ng/mL = Date: Apr, 2019
9.120 ng/mL = Date: Oct, 2018
5.470 ng/mL = Date: Aug, 2016
4.790 ng/mL = Date: Apr, 2016
3.520 ng/mL = Date: Sep, 2015
1.800 ng/mL = Date: Oct, 2014
1.520 ng/mL = Date: Jan, 2013
1.4 ng/mL = Date: Jan, 2012
I'm not sure what I am asking for here, other than any insight/comments regarding his original Uro's treatment plan, and anything specific that I should be asking the UofM docs on Monday. My father wants his prostate to be removed, but I'm inclined to see what each of his doctors say and come up with a pro/con list and go from there.