How are prostate cancer complications managed at 70?

Question

Hello doctor,

My 72-year-old father-in-law is a retired marine biologist. He is experiencing multiple complications from advanced prostate cancer treatment. He is struggling with the physical and emotional challenges of his diagnosis. Our family is seeking comprehensive guidance on managing his care, understanding treatment options, and providing the best possible support. We need practical advice on navigating the medical, emotional, and financial challenges of his complex medical situation. Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Active surveillance is recommended for a Gleason score of 6 or lower, which denotes a slowly growing, non-progressing cancer. In the first three years after diagnosis of Gleason 6 prostate cancer, there is a relatively low risk of grade progression.

Active surveillance includes regular physical examination, PSA (prostate-specific antigen) level measurement, and rebiopsy one year after diagnosis and every three years thereafter. Treatment is triggered by progression to Gleason 7 or higher, other evidence of progression is PSA doubling time or patient preference.

More than 50 percent of men with low-risk prostate cancer and who chose active surveillance, receive treatment. Depending on the histopathology Gleason score results, the next step will be cleared up. You can keep in touch for the biopsy results.

I hope this helps.

Thank you.