my father is 65 and Gleason score is 9 and spread till lymphnodes removed testicles in Aug since then on Zytiga plus calcium now MRI scan is showing shrink and nothing in lymphnodes doctors are scheduling 40 sessions of radiation saying it's good time for it as report is clear and good but still they will cover big area for radiation - pelvis and lymph nodes area as it was spread till there plus when my father asked to remove prostate they said now of no use then why should they remove.
Gleason 9 with lymphnodes : my father... - Advanced Prostate...
Gleason 9 with lymphnodes
Sounds like your father's situation is similar to mine at the time I was diagnosed in 2012. My prostate cancer is a Gleason 9; at the time of diagnosis it had already spread to my bladder and pelvic lymph nodes.
I started Androgen Deprivation Therapy (ADT, Lupron and Casodex) in July 2012 and had external beam radiation in November/December 2012. My PSA dropped to undetectable in February 2013.
Every case is different, but my cancer has responded very well to the treatments. I stopped the ADT meds in October 2014 - have been off all cancer meds for over 3 years. After stopping the meds my PSA rose just a bit to 0.1 and then to 0.2, but it has been stable at 0.2 for 1.5 years now.
Best of luck to you and your father. There are success stories in cases like his!
Thanks a lot for lovely and positive words and good wishes to you too! Great to find fighters like you on this portal...
The androgen deprivation therapy (orchiectomy (removing testicles) and Zytiga) will kill off the large majority of tumor cells and weaken those that remain. There is a possibility that the radiation will kill all of those remaining weakened cells. Hopefully, your father will be able to grow old without requiring any more treatment after that. If he does require more treatment, the Zytiga can be restarted and there are other possible treatments after that.
We are all wishing your father well.
Alan
Dx'd in 2015 @ 69 for GS9 PCa with no spread, I am now marching happily after hitting my cancer as hard as possible with an aggressive treatment regimen : Prostatectomy ( surgery ) + IMRT ( 35 sessions of radiation ) + ADT . My 2 years continuous androgen deprivation therapy ( ADT ) ended in January 2017 and I am under no treatment now. Ever since my treatment regimen my PSA has remained at 0.008ng/ml ( undetectable ). Before surgery it was 9.7ng/ml. You can count on Alan's words and motivate your dad to go for the right treatment and get this insidious decease cured or keep it well under control. I always believe in his words. Appreciate your being a very caring daughter for your dad. Wish you both Good Luck!
Sisira