I have an aggressive Prostate Cancer that will require at least surgery.
I have to have a full body PET scan that will indicate or show if the Cancer metastasized outside the Prostrate “Envelope.” There is some indication that my lymph nodes might be effected, the indications from the biopsy suggest this, but I was told that this is not reliable. The specialized PET scan is basically the tell-all.
The surgery would get performed at Columbia Presbyterian in NYC by a surgeon that performs this surgery robotically. I was told that this surgeon only does Prostrate Cancer surgeries robotically. The side effects might be some mild incontenance, and some weakness in the musculature in my lower torso. Bonus are two small scars.
If it is deemed I need radiation treatment that can be performed at my local hospital. There will be a DNA mapping from the biopsy samples that were collected to study the genetic possibilities and probabilities, so to a certain extent I’m getting a partial free body scan and DNA analysis. I pretty much will learn somewhat my future.
I was told that I will be monitored on a quarterly basis for any PSA level change for the rest of my life. Pretty much I am now high risk, even though Cancer does not really run in my family, except my sister who died recently age 71.
This is kinda when you have a colonoscopy and they find polyps, meaning you need to get a colonoscopy every three years.
Not so sure radiation treatment is required yet, chemo seems to be out of the picture unless the Cancer spread to other organs. Hormone therapy seems to be promoted, where my testosterone levels would be zeroed.
I inquired if I would become more effeminate, and was assured I will not grow breasts. I will suffer a men-O-Pause that would include hot flashes and night sweats along with disturbed sleep. I already experienced this about 15-20 years ago…
I inquired if I will get crazy emotional mood swings and become a crazy bitch. Pretty much I can become a psycho bitch from hell.
There likely will be a weight gain, loss of lean muscle mass, and being vulnerable to loss of bone density.
So it is no joke that I have bitchy part of me.
I made the call for the specialized PET scan, and a scheduling coordinator will call me back. The timeline for surgery is over the next few months. It is a one day procedure that requires an overnight stay.
The genetic testing will take 2-3 weeks to perform and costa about $3.8K-$5K. Bio-marker’s will determine the depth of treatment plan.
Pretty much because I am considered “young” pretty much aggressive treatment is favored.
I feel I’m getting the best of care.
Cal