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Calling OT docs- prostate cancer

Posted on 2/21/24 at 9:18 pm
Posted by NoHoTiger
So many to kill, so little time
Member since Nov 2006
45850 posts
Posted on 2/21/24 at 9:18 pm
My sister’s FIL has been diagnosed with prostate lesions. He started radiation treatment today and is supposed to go for 50 consecutive days.

BIL is an idiot and has no idea about stage it is or any other info.

Can anyone give us any info based on your experience about the radiation treatment, the consecutive days or anything?

ETA: thanks guys.
This post was edited on 2/21/24 at 9:31 pm
Posted by TheSheriffIsNear
Member since Feb 2024
34 posts
Posted on 2/21/24 at 9:23 pm to
Obviously depends on histology of the tumor and staging

But in general if he is an older baw he is far more likely to die WITH prostate cancer than OF prostate cancer.
This post was edited on 2/21/24 at 9:24 pm
Posted by jeffsdad
Member since Mar 2007
22050 posts
Posted on 2/21/24 at 9:25 pm to
Radiation treatment would be my last choice. First choice would be radioactive implants, second would be taking it out. Implants have, by far, the least side effects.
Posted by White Roach
Member since Apr 2009
9607 posts
Posted on 2/21/24 at 9:26 pm to
My options were 5-1/2 weeks or 8 weeks of external beam radiation. But that ended up being 28 or 40 treatments. M - F, Sat and Sun off to recover.
Stage 2.


ETA: I had brachitherapy first (implants), then EBRT and hormone therapy.
This post was edited on 2/21/24 at 9:31 pm
Posted by pussywillows
Member since Dec 2009
5896 posts
Posted on 2/21/24 at 9:33 pm to
my stepfather was diagnosed in 2007 and was given depo provera injections every 3 months, which initially kept his psa in check for a good while...in 2009, his psa began rising, so he had additional testing done and a tumor was found...i believe it was stage 2 when he began radiation treatments similar to what you described...he went for imaging in advance as what he was going to receive was very targeted treatment...he went monday thru friday each week for 9 weeks, and any holidays that fell during his treatment period were made up at the end for a total of 45 treatments...he had zero side effects or difficulties with the treatment...the tumor shrank to an insignificant size and never presented any further issues...he remained on the depo provera regimen, and when he died in 2018, he had never had any other issues...
Posted by Gorilla Ball
Member since Feb 2006
12000 posts
Posted on 2/21/24 at 9:47 pm to
Gleason score
Md Anderson, the Mayo Clinic and two other urologists didn’t recommend treatment but removal.
Posted by Rockbrc
Attic
Member since Nov 2015
8162 posts
Posted on 2/21/24 at 10:22 pm to
Cut it out
Posted by JasonDBlaha
Woodlands, Texas
Member since Apr 2023
2960 posts
Posted on 2/21/24 at 10:40 pm to
Assuming you’re in Louisiana, MD Anderson in Houston has proton beam therapy. Way less side effects compared to radiation and no healthy tissue is damaged. Only downside is that it’s super expensive and most insurances won’t cover it.
This post was edited on 2/21/24 at 10:42 pm
Posted by Cali-to-Death Valley
SF Bay Area
Member since Dec 2004
755 posts
Posted on 2/22/24 at 12:47 am to
I had (still have but beating it) Prostate Cancer. The most important thing to know is his Gleason score compiled after his biopsy. My Gleason score was a 7, which means my cancer was moderate-basically stage 2. I went through 25 rounds of radiation. If he is doing 50 rounds of radiation, his Gleason score is either high (8-9 usually stage 3, or 10 usually metastasized), or his score is 7, and for some reason, they are hitting him with lower doses of radiation.
Posted by jscrims
Lost
Member since May 2008
3600 posts
Posted on 2/22/24 at 4:31 am to
My dad died from this about a year and a half ago at age 70. Everyone saying it isn’t a big deal and blah blah, it is big deal. Get second opinions and try to do everything you can. My dad did everything the doctors told him before and after as far as preventative and getting it everything checked out. It snuck up on him in between his exams and was too late by the time it was discovered. It is by far the worst thing that has ever happened to me and I’m sorry for your family having to go through this.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27227 posts
Posted on 2/22/24 at 6:35 am to
My hospital does a lot of Brachytherapy?

Google that for details. You get a device (a multi cath port) inserted in your taint. Then 3-6 treatments with meds and chemo treatments directly to the prostate.

50 radiation treatments sounds awful. So does taint surgery. But it is less treatments.


At a certain age, taking that fricker out just makes sense. Your prostate is like a man’s “lady parts” if you live long enough it will betray you.
Posted by Auburn1968
NYC
Member since Mar 2019
21129 posts
Posted on 2/22/24 at 12:19 pm to
An old friend's father had prostate cancer, but he went with the Cyber Knife option. He had 5 sessions in one week and virtually no side effects. Basically it is a precise beam of radiation that pivots around the body so only the center axis of the 3D mapped tumor gets cell killing radiation.


https://cyberknife.com/cyberknife-how-it-works/
Posted by Tigerinasia
Natchitoches
Member since Jan 2008
1749 posts
Posted on 2/22/24 at 12:24 pm to
He really needs to have a Space Oar before radiation. It protects the butthole from damage. Do you know if he got that?
Posted by Tempratt
Member since Oct 2013
13979 posts
Posted on 2/22/24 at 1:01 pm to
I've wondered about this. How painful are prostate biopsies?

I had an elderly neighbor that nearly went into shock getting one.
Posted by ArHog
Gulf Coast
Member since Jan 2008
34152 posts
Posted on 2/22/24 at 2:13 pm to
My BIL had radiation treatments. The cancer went into remission and a year later came back and spread to his bladder. Now he pisses in a bag.

I had cancer 3 months after him and opted for prostate removal.

4 years later, cancer free.

Get that SOB out if you get cancer 65 and younger.


This post was edited on 2/22/24 at 2:21 pm
Posted by The Mick
Member since Oct 2010
43763 posts
Posted on 2/22/24 at 2:21 pm to
50 consecutive days of radiation likely means it's fairly advanced. IMO
Posted by AwgustaDawg
CSRA
Member since Jan 2023
8892 posts
Posted on 2/22/24 at 3:00 pm to
I was diagnosed in 2006. Stage 1 3+3. I have been on an active surveillance protocol at MD Anderson since. I have no symptoms and the disease is, from all indications, not spreading and not progressing. 18 years is a LONG time to be on active surveillance but mainly because people over react to the word cancer. Every case is different but in my case any treatment options are far more damaging than 90% of prostate cancer is. I even managed to knock up my wife 4 years after diagnosis. And had a vasectomy shortly after that. Prostate cancer is one of the leading causes of death in men but it is far and away the most treatable cancer and survival rates are excellent for all forms of treatment. Late stage and aggressive prostate cancer is, thankfully rare, but it is a killer like most cancers. Get that fricker checked...it ain't pleasant but it beats the alternative.

As far as his treatment goes if they are doing radiation only it is most likely early stage and not progressing. Unless he has some sort of other issues that prevent more aggressive treatment this is generally true. Prostatectomy is the gold standard but the immediate side effects are more likely to occur and be severe...but they subside with time. Those side effects also happen with radiation but usually it takes some time, often years, before they present themselves. Depending on his age and health those side effects are probably going to come visiting eventually anyway. Most likely, if radiation is the plan of action, his prognosis is excellent.

Finally, seriously, get that fricker checked. It is not fun having some sausage fingered fricker plunge his finger up your arse and having some blood drawn but it could save your life. And for those who do find they have prostate cancer do not lose your mind...it is very treatable in most cases and you can live normally for a long time...I have. I will probably have surgery this year because the side effects are not that unthinkable at 59 as they were at 41 and it is, by all accounts, only a matter of time before ANY cancer progresses.
Posted by LRB1967
Tennessee
Member since Dec 2020
17706 posts
Posted on 2/22/24 at 5:50 pm to
My dad had prostate cancer. He had radiation beads implanted. Worked well and his PSA tests look great. There didn't seem to be any discernable ill effects.
Posted by armsdealer
Member since Feb 2016
11681 posts
Posted on 2/22/24 at 7:18 pm to
He should have identified as a woman then he would not get prostate cancer
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