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What happens in stage 4 prostate cancer ?

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General & Family Physician
Practicing since : 2012
Answered : 3191 Questions
My husband has prostate cancer T4N2 and is on hormone therapy , has had a radioistoble scan. This is in Edinburgh Scotland. What happens now? Thank you XXXX
Posted Wed, 29 Jan 2014 in Cancer
Answered by Dr. Shafi Ullah Khan 1 hour later
Brief Answer: Advanced metastatic CA prostate, needs Palliation Detailed Answer: Good day XXXX! my name is Dr S Khan and i read your concern about the terminal stage also known as stage 4 prostate cancer of your husband. Miss XXXX i am sorry to say but stage 4 is the high grade terminal prostate in which Tumor is fixed and has invaded adjacent structures other than seminal vesicles (eg, bladder neck, external sphincter, rectum, levator muscles, pelvic wall. And N2 means not only regional but distant lymph nodes are involved, the place where surgeries and odds for clearing the malignancy with surgeries are impossible. SO now i am afraid conservative therapies and symptomatic care is the only option you have. Miss XXXX i am really sorry for your troubles and i can feel the pain but its the nature and we have to face realities even if they are harsh. I want you to stay calm and stay in touch with your oncologist and let him decide what is best for your husband. Alleviating discomfort and treating symptoms is priority. Discuss androgen suppression, radiation therapy and palliative care about your doctors. To know better about the disease and its outcomes i have provided you some links where you will find some useful information and guidelines and also many people who have this trouble. This is for patient education a necessary part of the plan. 1- WWW.WWWW.WW 2- WWW.WWWW.WW 3- WWW.WWWW.WW 4- WWW.WWWW.WW Miss XXXX if there is any thing i can do for you please do let me know. I would be happy to help you in these tough moments. Kindly close the discussion please and rate the answer as per your experience. Regards Dr. S Khan
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Follow-up: What happens in stage 4 prostate cancer ? 48 minutes later
I am a slightly confused as he is being treated at Urogoloy and when diagnosed the consultant said that the homorne therapy could go on for a while before radiotherapy/chemo would be involved, but I got the impression that there were more concerns about the spread elsewhere and into the bones. There was no mention of oncology at the time of his stay in hospital, but have been aware that is may be more serious than when first told We are still waiting for the results of the radioisotobe scan, I thank you for your frankness and when we next see any GP or Consultant I will be asking more probing questions.
Answered by Dr. Shafi Ullah Khan 11 hours later
Brief Answer: Trust your doctors. they are doing great Detailed Answer: Hello again XXXX! Thank you for getting back. Yes the doctors are right. it is the protocol they are following. Don't be confused. Hormone therapy is being tried but if the disease still progressed the medical oncologists for chemotherapy would be involved for intervention. And radiation oncologists for radiation treatment with different modalities. They know very well what they are doing. You should just be in touch and keep your self up to date with the patient education programme and keep me posted too when the results of radio isotopes scans come up. Hope i was of some help. Kindly close the discussion once queries are finished. Take some very good care of your husband. regards Dr. S Khan
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