results from dads biopsy

[Disney1989]

hi everyone, you all were so helpful on my first post. Wanted to come back and share some news we got…

Biopsy showed cancer for my almost 76 year old father

Gleason score 8 (4+4)

stage t1c

Last psa was 12/26/24 at 9.7

Psa before that 10/24/24 was 8.2

this was the first rise from his last test in April 2023 that was 4.9. He hadn’t tested consistently since 2018 so we don’t know what the rise was but 2018 was 1.5.

We’re doing the PET scan next and a bladder scope.

Any words of advice or things consider? Any stories of hope or positive outcomes you can share? Appreciate you all.

[Tall_Allen]

The therapy with the best outcome in cases like his is brachy boost therapy:

prostatecancer.news/2018/03...

[Disney1989 in reply to Tall_Allen]

Thank you!

[Murk]

I always believe in asking the going forward questions. What are the next three steps in the process and learn the answer to beyond... "depends". It helps mentally being able to visualize their complete process and directional plans.

Sounds like you are talking with an Urologist? Brachy Boost will involve a Radiation Oncologist (RO) so ask your Urologist who they recommend.

If you are talking with a RO, then you can learn about Brachy Boost and ask them for their process steps etc...

[WisdomSeeking]

You need to wait for results from the scans.

We don't know the full details of your dad's health, but possible plan is: After results from the scans start ADT (Firmagon/Orgovyx/Zoladex/...) + hormone therapy (abiraterone/enzalutamide/darolutamide/apalutamide) and then after 2-3 months start radiation therapy.

Does your dad still have back pain and stomach pain?

[aceace12]

good luck with Dad,....

[conbio]

I was similar (G4+5), limited to gland at 66 yo. Went with what the research showed would be the best outcome - ADT 18 months (maybe could be less), EBRT, and Brachy. Really, it was not all so bad. My suggestion is to get a trainer for dad, even at his age some weight training will help to minimize muscle loss from ADT.

I'm a little younger and have always been active - climbing, backcountry skiing, mountain biking. I worked with a trainer 1x a week and lifted on my own 1x a week for 2 years. Learned a lot and was back to full strength about 6 months after end of treatment. The radiation can make you a bit weary, but I maybe missed one climbing session over that period. Just getting out with friends helped.

The therapies are there and have good outcomes. Best of luck to you and dad.

[j-o-h-n]

Greetings Disney1989,

Please update your dear Dad's bio. Thank you!!!

Good Luck, Good Health and Good Humor..

j-o-h-n