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Re: prostate cancer spreading to sphincter muscle

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Hi ,My 2010 surgery follow up pathology report, upgraded my pre-surgery low volume Gleason 7 to a Gleason 9 with a lot of cancer found in the apex area. I remember my surgeon saying that the report also said that stray cancer cells had been found in muscle tissue (and that there is no muscle tissue within the prostate). He went on to suggest that in 3 months I go meet with an oncologist and a radiologist. Encouragingly, he also bet me that my post surgery PSA result would be non-detect and thankfully, he was right about that but I took his suggestion to see the oncologist and radiation docs anyway. They told me about a trial that was for people like me who had a greater than 50% chance of re-occurrence within 3 years. It consisted of

hormones followed by radiation and then chemo. The hormones and radiation combination are considered standard treatment, it was the addition of chemo that was being trialed.I chose to participate, and now almost 2 years post surgery, my PSA is still <0.1 (Thank you God!!) and I'm fully aware that there's a long way to go before I'm in the clear.If you'd like further information regarding this treatment, I'd be happy to provide it. Best of luck with whatever path you choose.NFW

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