What's the usual next step after finishing RT while continuing ADT plus Z&P?
I'm stage 4, GS8 with enlarged LN's in my pelvic region.
- I've been doing ADT since January (Firmagon then switched to Elligard)
- Zytiga & Prednisone since February
- Finished 9 weeks of IGRT, 2 week's ago
- PSA went down from 86 to 1.05 when IGRT started
I have my next 3-month Elligard injection this week followed by an appointment with my MO to review the bloodwork they'll do then and to "chat". In a few weeks I also have a follow-up with my RO.
What is the normal next steps? I'll be continuing the ADT plus the Z&P. Do I just watch for a rise in PSA for now? Are there other things I should be doing?
Yes, after the ADT wears off, you may see a small rise in PSA before it reaches a nadir.
Due to my LN's being enlarged, the current plan was to stay on ADT forever (plus the Z&P unless it stops working). I'm wondering if I should be doing anything else now or just keep watching my PSA to see if it continuously go up somewhere down the road?
Didn't they treat the pelvic LNs with radiation? Were there other cancerous LN's outside of the treatment field?
Yes, they did treat the Pelvic LNs during the IGRT. That was the only sign of Mets seen in the scans (CT & bone scans). Do you think they are being overly cautious by recommending I stay on ADT, etc?
You may be cured. The only way to know is to come off ADT and see what happens.
Praying for cured