Met with Dr. Lo today. He confirmed much of what I gleaned from the last MRI report.
Yes, the original tumor and much of the prostate is destroyed and, according to the report, the urethra is normal ( I beg to differ at various times during the day).This is good!
But the take away from our appointment was that the swollen lymph nodes are most certainly PCa (regardless of where the cancer migrates/metastasizes to, it's still know as __________ cancer...i.e. wherever it started).
The first question is, have PCa cells metted (I don't know if that's a word, but I am hereby creating it! I can't ever spell metastasized anyway.) to any other parts of the body? I'll be evaluated by a full body PET scan with an Axumin injection to see if the little boogers have traveled elsewhere.
One of two possibilities here:
1) No sign of mets anywhere else in the body - best situation. Then we can look at nuking the 2 "bulky" lymph nodes and then wait to see what other whack-a-mole pops up
or
2) There are mets to bones, lung, brain, etc. If this is the case there's some possibility of clinical trials but most want you to be on hormone deprivations"therapy" as well. I won't do HDT. If this is the situation, then there's two choice: a) go on HDT or b) let the cancer run it's course.
So either way, cancer is on the move in my body. It explains a lot of the fatigue and pain "down there".
Dr .Lo also is issuing a referral to a G/I specialist because my BMs of the last 2-3 months have almost always involved some blood. I told Doc Lo that I figured maybe it was an internal hemorrhoid as the blood is always fresh, not old or clotted. He said, well maybe......but you also had radiation that may have affected the area. So I'll have an anoscopy to look forward to very soon.
That's all I know folks. It's enough for the moment. I think I'll have a glass of wine.
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