Spread to lungs?

[Garyzwiernik]

How common is is to have spread to lungs but not lymph nodes?

[Tall_Allen]

Bone mets are most common, followed by pelvic LN mets. Visceral mets are least common.

[Garyzwiernik in reply to Tall_Allen]

Thanks for your reply

[billfenley2]

Gary, I dealt with that very question recently. My urologist, a high-volume PCa surgeon in his 60s, said he could count the cases he's come across like that in his career on the fingers of one hand.

[Garyzwiernik in reply to billfenley2]

Thanks for your reply

[Celtic]

Gary, that has recently been the experience for my hubby, too. Into bones 18 months ago, now 2

spots on his lungs. We’re still reeling from the news.

[Garyzwiernik in reply to Celtic]

Thanks for your response

[DenDoc]

Gary,

Rare for sure when my mets occurred. Mine are mostly in the pleura(lining of the left lung). After 10 years still no bone mets. My summary is in my profile.

You need a medical oncologist now, not a urologist no matter how experienced he is. Ideally a urologic oncologist if you are near a major cancer center.

[wcochranbond]

Gary, I learned last November that I had four mets in my lungs. I chose to attack them early with both Lupron and Docetaxel. I started the Lupron in late December and the chemo treatments at the beginning of Janaury. After my course of chemo treatments, I had both a CT scan and a bone scan. The scans showed that my lung mets were no longer detectible, and no new mets were revealed by either scan. That does not mean that the mets are gone, but at least they have been serverly beaten back. I do not know if lung mets are particularly susceptible to the treatment regime I followed, but I am delighted with the impact they have had on my cancer.

[Garyzwiernik in reply to wcochranbond]

Thank you for the info,?

[j-o-h-n]

Well Gary I developed stage IV "Melanoma" lung cancer which is being treated successfully (so far) with Keytruda. $30K per pop. (15 pops so far). BTW did your Father get his name from the bottom line of an eye chart?

Good Luck and Good Health.

j-o-h-n Monday 08/20/2018 1:33 PM EDT

[Garyzwiernik in reply to j-o-h-n]

Thanks John! I haven't heard that one about the last name. Glad u still have a sense of humor. That was a good one? Good Luck to you also!

[ggbk]

Well Gary, we are in the same unusual boat. I was dx in Jan 2014, gleason 9, PSA 10.5. They saw about 20 plus spots on my lungs but non big enough to biopsy and all the Dr's thought it was unlike to be mets only there, so I had RP surgery followed by radiation therapy. I had a gallium 68 pet/ct scan in January 2018 and it showed hot spots in the lungs only and a biopsy of the largest one showed it was positive for prostate cancer mets. I have been on lupron, zytiga and prednisone since February and just had another gallium scan and it showed that there are far fewer spots and the bigger ones have shrunk by half or more. That is both good and bad news. It means that most of those original 20 plus spots were probably pca mets. At least the lupron and zytiga seem to be doing a number on them. Best of luck to you.

George

[Godschild62]

My husband's CRPC has micro metastasized to his lungs- doesn't show up on any scan.

God bless you in your journey!