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Prostate Cancer (Expert Forum)
Dad diagnosed with prostate cancer
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Weill Medical College of Cornell University
New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.
Dad diagnosed with prostate cancer
by nickypeaches, Apr 05, 2007 12:00AM
My father was recently diagnosed with prostate cancer. He is 66 yrs. old. His gleason score was a 6 and they graded it a T2C. Do you know what stage that would be? My father said the urologist said it is in both lobes of the prostate. The urologist suggested 2 options, one was the radiation seeds(brachytherapy)and the other was removal of the prostate, my father has chosen to do the seeds. He has an appointment with the radiation oncologist and then to the cardiologist to have a stress test, to make sure his heart is okay, he had a heart attack in 2000 with 2 stents put in. With his gleason score and grading, is it possible the cancer has spread beyond the prostate? No one has mentioned a bone scan or ct scan? I am trying to gain as much knowledge and information I can about this disease and the treatments. I am so worried for him. I worry too about the side effects. What is the survival rate for someone like my dad? thank you in advance.
Doctor's Answer
by Ash Tewari, MD, M.Ch., Apr 06, 2007 12:00AM
, Apr 06, 2007 12:00AMRelated discussions
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Sorry I left that out!
It was a 5.7 psa
gleason score 6 and a T2C grade
Either brachytherapy or surgery is a reasonable option for him. Each has its own advantages and disadvantages.
The side effects of brachytherpy are urinary irritative symptoms like frequency, urgency sometimes retention, proctitis or inflammation of the rectum and impotence.
The complications of surgery are similar, i.e incontinence and impotence. However surgery has been shown to offer a better survival advantage than radiation.(1)
Low to intermediate risk tumors like this have a 50% -85% 5-year PSA failure-free survival.
This answer is not intended and does not substitute for medical advice- the information is for patient education only.
1.Albertsen PC, Hanley JA, Penson DF, Barrows G, Fine J. 13-year outcomes following treatment for clinically localized prostate cancer in a population based cohort.J Urol. 2007 Mar;177(3):932-6.