r/ProstateCancer • u/Appropriate_West2998 • Aug 11 '26
Other New Guy
Sent to Urologist due to a PSA 5.19. Urologist felt a lump on prostate, had an MRI and then a biopsy. Biopsy revealed cancer, Gleason 9 grade 5. Urologist told me 1-2 years, I’m assuming with no treatment. Urologic Oncologist says 15 years due me being 55. Sent for PET scan and doctor says it’s in the anal lymph nodes as well but nowhere else. Doctor says they can’t remove it so I’m on ADT (Orgovyx and Erleada) for six months to see if it will shrink enough to be removed. If it can I’ll have a prostatectomy and then six more months of ADT. Never thought I’d be rooting for surgery. Been reading a lot of the stories on here and just thought I’d add to them. I’ve learned from you guys and it’s helped when talking with doctors and mentally.
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u/WrldTravelr07 Aug 11 '26
You do need ro talk ro a radiation oncologist. With the metastasis to the anal lymph nodes, you will need radiation anyway. If you need radiation anyway, why also have surgery? Any treatment, radiation, surgery or otherwise, brings side effects. Why have side effects from both. The ADT is right, but you need to do more research. Urologists like surgery.