Key To Longest Survival Time With mPCa

The general belief is IADT is just about as good as continuous ADT with a better QOL.

But check out the 2 studies below if your PCa has not metastasized beyond the lymph nodes. Dr. Myers has stated he has patients on ADT who did not progress to CRPC for 18 years with just Lupron and Avodart when the PCa is confined to the lymph nodes. Bottom line..if you have only nodal disease stay on continuous ADT to prevent spread beyond lymph nodes at all costs.

Gus

news-medical.net/news/20120...

dailymail.co.uk/health/arti...

5 Replies

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  • My cancer spread to the pelvic lymph nodes. After surgery (removed 14 lymph nodes in addition to the prostate), I am 9 months into two year Lupron as well as 38 rounds of radiation. Based on the above, I wander if I should discuss staying on Lupron longer.

  • Doc,

    If I were you I would do 12 months Lupron then go on Casodex, Avodart, and Metformin. If PSA start to rise drop the Casodex and go back on Lupron. This is what I have done and 8 years out PSA .1

    Gus

  • Gus,

    Does that mean you are going to say on Casodex and Advodart and your supplements continuously. Also, are you taking 150 mg. or 50 mg. of Casodex daily?

    Rich

  • Gus, The Dail Mail article seems contradictory; in that for lymph nodes it gives 32 months median survival time, but the other article states a median survival time of 7.1 months if you have lymph nodes metastases .

    Rich

  • Gus,

    I meant 7.1 years.

    Rich

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