I am 52, just diagnosed in February with AdvancedPC. My PSA shot from 3 to 130 in less than 12 months; Gleason 9. Lymph nodes in pelvic area; negative in bone scan. Started immediately (early March) with Bicalutamide and Lupron shot 2 weeks later. I am taking Bicalutamide and Flomax daily (in addition to calcium and D3). My oncologist just recommended switching from Bicalutamide to Zytiga, which I will start today. Had a consultation with radiologist who said my lymph nodes were beyond the effectivity zone for radiation, but it was my choice whether to do the treatment.
I feel the treatment at this point is adequate and understand that future tests (PSA , scans) will tell how it's working. Everything I've read so far confirms this but I guess one question I would pose to you all is whether I should seek a third opinion. I have a very expensive option at UC San Francisco, but I feel like I would rather save that money for future needs. I welcome any thoughts and am already thankful for this group.