Hello all. My dad was diagnosed 6 weeks ago with Gleason 9 advanced prostate cancer by a pathologist in Brooklyn, NY. He is an active 71 year old immigrant with poor English language skills. Since being informed he has prostate cancer, we have decided to have him treated at MSKCC (Sloan) in Manhattan, where they studied his biopsy slides and the pathologist downgraded the Gleason score to an 8. My dad's PSA was 1.5 on 10/16/17 and 6.4 on 4/17/17. According to his most recent blood test at Sloan, his PSA is 6.04. MRIs and CT scans with contrast indicate metastasis to the stem of the bladder, as well as the pelvic and abdominal lymph nodes (>3 nodes). A 1cm growth on his rectum was ruled benign after a biopsy, and a 5cm hemangioma is being considered benign becuase it has existed for over 5 years (possibly congenital). Bone and lungs were found to be clear of metastasis.
My dad began his anti-hormone treatment of degarelix (Firmagon) on June 30. According to his oncologist, he will continue hormone treatment and begin intense radiation in early October. He continues to walk, at least, 2 miles each day and continues to help care for his grandchildren. I have been reading up and am hoping my dad could qualify for immunotherapy as well. I am waiting to hear back from his oncologist regarding the possibility of immunotherapy and why he does not recommend a PSMA or PET scan at this time. Does anyone have any input on these topics and situation, as well as typical life expectancy in cases like my dad's?
Thank you all and good luck with your own situations,