this is Dr. David
this bone scan report shows no evidence of cancer spread to the bones
but you have some old age wear and tear of your bones which is common at your age
that is what degenerative changes mean
I would go with no estrogen patch
i would go with anti-testosterone therapy like leuprolide or goserelin which tends to be used over in europe.
pelvic radiation therapy for 5 weeks to treat the lymph nodes and cone down to the prostate to a higher dose
chemotherapy is questionable.
that is a good sign the bone scan didn't show evidence of cancer spread to your bones.
you are not getting surgery for your prostate cancer.
you don't need surgery
choice of anti-testosterone therapy doesn't depend on your surgery.
leuprolide or goserelin are both fine to use to decrease and stop testoterone production to freeze any prostate cancer in your body and to make external beam radiation more effective
let me know if you have other questions.
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