Hi: I'm 63 and a 7 year PC survivor (Gleason 7). Over the past 7 years I've had surgery, radiation, and 18 months of ADT (firmagon/lupron). After a 6 month ADT holiday, this month my PSA went up to 60 and I have a pelvic lymph node that lit up. No other bone or soft tissue hot spots.
I've now restarted my healthcare adventures. My MO restarted me on lupron, plus added the Zytynga/prednisone cocktail. After 5 days on Zytinga/prednisone I feel fine. Tomorrow I'm going in for a biopsy to get a cancer sample for analysis.
I'm treating at the U of Minnesota Urological Cancer Center. I'm feeling a bit vulnerable, so what are your thoughts? I'm I missing anything? Is this a sound treatment path, etc.?
I'd appreciate any insights.
Thank you!
What kind of imaging have you done so far?
Bone and CT
I think the biospy is a good idea. Would recommend looking at the genetic mutations as well as neuroendocrine differentiation in the biopsy sample. Hopefully they were already planning to do that, but I would check anyway. Certain genetic mutations have targeted treatments available for them and/or might benefit from using chemotherapy instead of Zytiga in addition to your ADT. Something to discuss with your doctor.
Ok. Thank you! I was glazed over when they discussed what they going to do with the samples, but I'll check!