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My journey to diagnosis - treatment options limited to RT

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User
Posted 28 Feb 2022 at 00:37
Generally speaking, moobs are more of a side effect of bicalutimide and Stilboestrol and are less common with injected HT such as Zoladex or Prostap
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 28 Feb 2022 at 00:43

Originally Posted by: Online Community Member

Lyn,

It was the statement that "health professionals are currently not recommending any treatment other than surgery" that I was saying was false. RT is assuredly still a recommended treatment!

I'm certainly not disagreeing that breast growth is permanent in most cases.

Cheers,

Chris

I think he meant "health professionals are not currently recommending any treatment other than surgery for gynaecomastia" (which is also incorrect but perhaps applies in the area where he lives) not "health professionals are not currently recommending any treatment other than prostatectomy"? 

Edited by member 28 Feb 2022 at 00:49  | Reason: Not specified

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 28 Feb 2022 at 06:39
is HT always prescribed before RT? My husband has the option of either removal or RT, but so far nobody told us about HT being part of the treatment with RT. Thank you
User
Posted 28 Feb 2022 at 06:50
No not always, but these days more likely than not because evidence from trials supports its use.

User
Posted 28 Feb 2022 at 11:38

I have not been given false information.

When I started on bicalutamide, I was advised that I may develop sensitive breasts and experience some swelling. There was some vague discussion about medication alleviating some of these issues if they arose. Six months later, I have been informed by UCLH that they do NOT carry out radiation on patients medicating with bicalutamide and do not recommend either small or large doses of tamoxifen because of the additional side effects.

The significant point here is that neither radiation or tamoxifen were offered prior to taking bicalutamide. Consequently, if breast enlargement occurs, surgery is the only option.

I cannot comment on whether this issue is subject to regional interpretation and can only comment on my experience. 

 

User
Posted 03 Mar 2022 at 19:59
my husband has the choice between RP and RT, is HT always given before RT? Is HT given before RP? Thank you
User
Posted 03 Mar 2022 at 22:18
Most men have HT before RT - the exception might be if the cancer is very, very small but in that case, you would question why they were bothering to offer RT anyway.

HT is not normally given before RP - it has been used recently only because of Covid and the serious delays in some parts of the country while operating theatres were closed.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
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