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  • Q&A with Australian Health Practitioners

    What is the next step of treatment for my father's prostate cancer?

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    Cancer Prostate Cancer
    This is regarding my father C/A prostrate, Male 62 yr

    1. Bilateral ochiotectomy done on Aug 2011(when PSA was 186ng/dl).
    2. Biopsy(needle trucut) report says Gleason score 5+4=9,perieural invasion+, 3 cores out of 5, tumor tissue involved 26%.
    3. MRI/CT scan showed multiple bone metastasis
    4. Calutide 50mg/thrice a day and urimax-D once day was given after bilateral ochiotectomy for 1year.
    5. PSA was controlled within 4ng/dl for few 6-7 months after bilateral ochiotectomy then certainly arise from 7, 27,50 now
    82ng/dl.
    6. Now recently Laser Chanel TURP of prostrate was done on sept 11th 2012 (psa was 84ng/dl).
    7. TURP Biopsy(recent) report says Gleason score 10(5+5) with 80% tumor tissue involved.

    Sir please suggest me the next step of treatment as he has no other cholesterol/diabetic/heart problem and also say my father survival rate in years if its diagnosis in right way.
    • 1 answer
    • Dr Sujoy Mitra
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    Thanks

    Dr Sujoy Mitra

    Medical Oncologist (Cancer Specialist)

    Medical oncologist and clinical haematologist treating all malignancies apart from acute leukaemias. View Profile

    Depends on 1) extent of spread to bones 2) symptoms from disease.

    If symptomatic & significant disease outside prostate, next step in Australia would be chemotherapy with Taxotere

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