| Biopsy: | October 2008 – PSA 13.1Biopsy undertaken March 2009
Adenocarcinoma of the prostate confirmed by biopsy: Gleason 4 + 3 in 12 cores, 4 + 4 in 1 core, 4+5 in one core Histology from biopsy revealed pT3a disease |
| Scans: | MRI scan done on 26/3/2009 T3b disease with invasion of right seminal vesticle at apex and multiple large lymph nodes including right common and external iliac lymph nodes.Whole body bone scan 25/3/2009 – no evidence of bony metastases.
CT scan 26/2/10 – stable with regard to lymphadenopathy Bone density scan 13/4/10 – osteopenia CT scan – 31/8/10 – reduced lymph activity Whole body bone scan – 6/9/10 no metastases Whole body bone scan – 27/2/12 CT scan – 3/3/12 |
| PSA: | October 2008 – PSA 13.1
April 2009 PSA 0.78 March 2010 PSA 1.8 January 2011 PSA 4.4 |
| Treatment: | Zoladex commenced April 2009Nadir PSA 0.78 in October 2009 – March 2010 PSA 1.8
March 2010 Casodex 50mg added Started taking Bisphosponate (Alendronic Acid) Nadir PSA 0.59 in March 2010 – January 2011 PSA 4.4 Docetaxel chemotherapy (10 cycles planned but only 8 completed) started January 2011. Steroid (predisolone) continues after chemo Radiotherapy started on 12th September 2011 – 20 sessions |


