I fell ill in November 2015 and among medical checks ordered, PSA result was 12.540ng/ml. Subsequent check in February 2016 showed it was rising reaching 23.850ng/ml. I had a prostate biopsy on 30/03/16 and lab analysis showed tumor cells involving 65% of affected cores RBP,RMP and RMT. The remaining 6 cores from the other zones showed hyperplasia. There is no perineural invasion or high grade pin.
Treatment options considered were thus:
a. Active survilance - rejected as not being ideal.
b. Radical prostatectomy. This was to be carried out be a UK based Nigerian but his experience was unknown, no guarantee of adequate counselling and following up checks. In addition cost was out of reach due to several interests involved.
c. 3 monthly injections or removal of testes. I settled for the latter because I was informed the efficacy of the injection could not be guaranteed, perhaps due to poor storage. I was aware of the consequences of my choice but at that time sex was the least thing on my mind. Life was more important. Removal of testes was done in April 2016 and followed by tab bicalutamide 50mg daily.
PSA checks in July and December 2016 were 0.075ng/ml and 0.0004ng/ml respectively. Following satisfactory PSA result in December my doctor asked me to suspend ADT.
While I was on bicalutamide, I was feeling tired and was also having hot flashes. I still have hot flashes but tiredness has eased. Thanks to YANA support group I now know more about PCA. I am mentally strong and determined to win this fight against pca monster. I am planning to go for radiotherapy although my doctor says I don't need it. I want to have cancer staged to determine its size and location and also whether it has met to other areas.
I ask for advice and comments of mentors and other knowledgeable group members. Thanks everybody.
Chukwu's e-mail address is: email@example.com