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Hi Michael. I see this is your first post, so welcome to the YANA forums.
Ductal PCa, as you are aware is rare. I cannot recall any YANA members stating ductal PCa as their primary diagnosis. So don't be disheartened if you do not get to many responses.
I am wondering what are your thought's on your consultant's recommendation? Have you done a bit of research to assist you in the decision making process? I guess I am trying to ascertain what your current level of knowledge is regarding the high risk disease that you have, it's appropriate treatment modalities, and the likleyhood of disease progression. I assume you are comfortable with such a discussion given your presence on here.
As I stated previously, while you may not get responses from men with ductal PCa, you will get good information regarding the various treatment modalities. So do feel free to ask specific questions.