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Medical Forum / Diseases and Disorders / Prostate Cancer / September 2003

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Confusing Diagnosis

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Henry - 25 Sep 2003 01:41 GMT
My 81 year old father has been diagnosed with prostate cancer.  He was
checked every several months for the past 3 years and his doctor always
reported PSA levels under 4.0, usually 3.5.

A few months ago his PSA changed marginally and during his physical exam, he
noticed a "hardening".  Anyway, he did a biopsy and discovered the cancer.
It has not spread and his PSA level has remained at 3.5.

He sent us to his radiologist for an exam and suggestions on treatment.  We
were told it would consist of 3 hormone shots to reduce the size of the
tumor and radiation treatments lasting 8 weeks.

The radiologist recommened we only do the hormone shots and not do the
radiation treatments.  He felt between his age and stable condition of the
tumor for a few years, the radiation might cause him more harm than good.
Now, after consulting with the doctor, the doctor wants to have the full
treatment consisting of the hormone and radiation.  These two are long term
associates.

As you can see, this makes for a difficult descision.  We will of course do
what is best and probably seek a second opinion, but does anyone in the
group have a similar experience for me to draw upon?

Appreciate any help.
Manuel D?az - 28 Sep 2003 18:57 GMT
Prostate cancer is a common disease among men 80 years and older. In such
patients, normally the cancer will never grow enough to cause death. In
fact, I wouldn't even check any patient at this age with a PSA or DRE, since
the diagnosis won't make any difference. The only case in which most
urologists would initiate any kind of treatment is in patients with symptoms
of advanced disease such as obstruction of the urinary tract or bone pain.
Check http://www.nci.nih.gov/cancerinfo/pdq/treatment/prostate/patient/

> My 81 year old father has been diagnosed with prostate cancer.  He was
> checked every several months for the past 3 years and his doctor always
[quoted text clipped - 20 lines]
>
> Appreciate any help.
 
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