My father who is 95 has asymptomatic metastatic castrate – resistant (hormone – refractory) prostate cancer. Apparently, Lupron Depot is no longer controlling his prostate cancer. His PSA has increased from 1.8 to 15.8 and the CT scan shows a spot on his right hip. The spot has been there since 2012 and was the initial reason for taking Lupron Depot. The scans did not show any new metastatic spots. However, there has been an interval change to the old spot.
His urologist is sending him to his group’s practice that treats advanced prostate cancer. They have called me up and said that he will be getting Provenge. There is no discussion. I asked about Radium 223. They told me that it is only used for pain management. Is the decision this cut and dry? Is Provenge the more effective treatment as compared to Radium 223? It seems to be complex for a 95 year old.