Prostate Cancer Gleason 9

Hi all, 

My uncle has been diagnosed with high risk, locally advanced prostate cancer. His Gleason score is 9, it is T3b, and his PSA is currently 132. 
In terms of spread, he is M1a - it has spread to lymph nodes and nerves but not to bones or organs. Doctors have recommended chemotherapy and he is currently on hormone therapy. He is 51 years old. 
I just feel very scared and I would really appreciate speaking to someone who has had prostate cancer, especially of a similar score/category. I want to understand how "bad" this is, and if I should be hopeful or not. While I am probably looking for reassurance, I also would like to know the reality of what to expect. 
So many questions run through my mind...does he only have five years, is this terminal, can be ever be in remission? 
 

I would really appreciate the stories of people who have been through this. 
 

thank you so much 

  • Hi qwerty my prostate Cancer went to lymph nodes, spine, ribs, pelvis and a lung gleason 8 stage 4 psa 1581 T3B  N1 M1B I was diagnosed Feb 2016 straight onto hormone therapy (decapeptyl) then chemotherapy (docetaxel) been fine since kept working, had to retire to look after my disabled wife she needs 24 /7 care she has Alzheimers and parkinsons. Oncologist usto call it uncurable its now called palliative care,. Any questions please ask.???. Billy 

  • Thank you so much for your reply. I really appreciate it. 
    May I ask please if your cancer has spread since your chemo and hormone treatment? Or is it under control? 
     

    Also was chemo very difficult and how long did it take for you to recover from it? Is there anything you think family members can do to help?  
     

    Thank you so much for helping me during this time. I am really happy to hear that you are doing well and I pray you are long kept in the best of health. I will keep you in my prayers  

  • Hi qwerty my cancer hasn't spread its actually receded slightly. My psa count went down to 0.03 it took two years (Feb 2018) lowest since then it's slowly rising last blood test Oct 2019 it was 2.2 oncologist wants it to get to 20 before more cemotherapy.

    Cemo wasn't nice i was fine first 4 or 5 days then it hit me (i have stomach problems) started being sick all the time luckily it went off before next session (3 to 4)days, it continues like that. Most people only feel sick unless other med problems. A few aches and pains but manageable, hospital should give meds to help with it. Hope you've got or can get a good thermometer if he gets a temperature phone them up. After chemo i was back at work within a week, metal welding and fabrication muck and dust everywhere., oh when I felt OK with cemo i went to work (something to keep me occupied other than cancer., if he can keep busy it really helps.. Main thing is be careful of anyone with any colds or bugs.

    Hoping that helps if you want more information welcome............. Billy 

  • Thanks so much. This is all very reassuring. 

    How long was your chemo for? It's great to hear that you went back to work and have been living a normal life, I am so happy for you and I hope you are long kept this way.

    Have your doctors ever spoken about chances of it returning or given you any kind of talk on "how many years you have left"? I suppose my fear is that he only has a few more years left or that there's a definite time frame that he has now...or do the doctors tend to say that as long as your PSA is low and there aren't any signs that the cancer is spreading, that it's all fine and there's no reason for it to shorten your life?

     

    thank you so much once again. You have no idea how much reading about your experience has helped to lift a weight from my heart. Thank you.  

     

  • Hi qwerty, to start with they said five years, but that's completely wrong. I had 6 sessions of cemotherapy one every three weeks. Grandson took me for the first one with not knowing if i was going to be OK after., i know I'll need more chemo sometime when psa rises again also chemo will help to keep other cancer down. Don't forget I've still got cancer it's just under control i call it my uninvited guest, Glad to help. If i can help anymore don't worry please ask...........

    Billy

    P.s oncologist reckoned I'd need more chemo before a year was out still not had second sessions yet and very nearly four years have passed. Hope things go well for your uncle. 

  • Hey billygoat, how are you doing? I just wanted to check in and say thanks again for your comments. They give me hope. How's your health been? 
     

    My uncles chemo will start on the 18th March. I'm really praying it's effective. One thing we're quite puzzled about is that everyone kind of says that prostate cancer isn't that bad (that it's one of the "better" cancers) but then at the same time seems very negative (it's not treatable, it's high risk, etc etc). We're not sure what to make of this I guess...like how worried should we be? 
     

    thank you again.  

  • Hi qwerty if your uncle is having cemotherapy it is treatable, but probably like mine not curable. Remember you can live with it.

    I'm just getting over a bug, nothing to do with cancer, but my immune system doesn't work properly so i struggle a bit. 

    Glad your uncle is finally getting treatment. Hope things go well. 

    Lovely to hear from you again was hoping uncle was still OK.

    Billy xxx 

  • Hi Billy, 

    it's a pleasure to hear from you again. Yes that is what the docs have said - it's treatable but not curable. 
     

    We got some bad news again today. It has spread to the lungs and the lymph nodes around the lungs. I've been reading online and it says the prognosis for this kind of cancer is around 20-30%, which is making me panic and my mum (his sis) is devastated (my grandfather had lung cancer and she was with him throughout that so this hits her even harder). I am not sure what to make of it really. A part of me thinks, we need to love each day, one day at a time. But another part of me really hurts so much and the fear and worry is really very much there. I just really hope he turns out to be like you and five years later is still doing ok. 
     

    I am really happy to hear that you are doing ok. It's gotten quite cold so maybe that's why you had a bag -  do make sure to take care of yourself, especially with Coronavirus now on the horizon. I will keep you and your wife in my prayers. Thank you for being someone I can speak to. You have no idea how much that means xxx

  • Please don't read online it's always gives you the worst prognosis (that's a very big word from me) and it's probably out of date, treatment changes monthly sometimes. Hope treatment works well.

    Best wishes. Billy xxx 

  • Thanks Billy. You think there's still hope right, even though it's spread to lungs? 
     

    it's hard to get anything positive out of doctors...they always only give you the worst case scenario.