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High risk of prostate cancer

I am 48 years old, and I have aggressive prostate cancer (Gleason 9). I had a prostatectomy last year. The level of PSA 3 months after surgery was 0.17 and after 6 months reaches 0.23. The result of pathology shows that the right and left of seminal vesicles involved by the tumor and my doctor started to description radiotherapy and hormone therapy. I want to know if there anyone else with these conditions.

  1. In addition there is some type of radiotherapy, and some friends suggested me to use IMRT ,they say IMRT for prostate cancer is better.

    1. Another Gleason 9 here and was diagnosed in 2013. Prostatectomy that same year. PSA after surgery was 0.02. Over the next 5 years my numbers started to slowly rise. At 0.13 I went in for a 6 month Lupron shot an then 40 radiation treatments. I am now 4 years out -- so far my PSA is 0.02. The worst for me was the Lupron as I was one of those who reacted to it - Night sweats, hot flashes, depression and an 30 pound weigh gain. If you are interested I did a video journal on my treatments ... My Personal 8-Week Treatment Videos ... can be found at www.TheProstateCancerCoach.com

      1. Hi Mana126J...Just wanted to follow up to see if you had additional questions in case the videos missed anything or raised additional questions .
        Dennis(ProstateCancer.net TEAM)

        1. Thanks Dennis for your help ,Yesterday I had a PSMAPET/CT scan with this report "the patient is status post prostatectomy with focal PSMA activity at the expected location of Denonvilliers fascia ,suspicious for malignancy /metastatic disease " ,so the doctor prescribe Hormone therapy for tree years , and radiation therapy after 3 month of start of hormone therapy , I want know this treatment is necessary and I worried about side effects .
          thanks again for your reply

          1. The approach as described to me in layman's terms is the hormone therapy weakens the cancer so that the radiation has a chance of a better outcome. Almost everyone I am familiar with has had different reactions to hormone therapy - Mine was miserable while others had none - go figure. All I can say is watch what you are eating - I gained significant weight while on Lupron - Came off after treatment stopped but now have some large pants that no longer fit - 😀 and that is good news Dennis(prostate cancer.net TEAM)

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