I'm new here but have already learned much from the posts.
My name is Harry. I am 70 years old, fit and active.
My cancer was diagnosed accidentally May 18 when I was hospitalised with a bowel obstruction. Bowel scan showed enlarged lymph nodes and the subsequent investigation revealed Gleason 8/9 prostate cancer and three bone metastases (spine and hip), adjacent lymph node lesions and possibly thyroid lesion. My PSA was up round 60.
I have excellent medical advice (GP, Urologist, Radiologist and Medical Oncologist) who all work together well.
Immediately on diagnosis I started chemical ADT (bicalutamide and goserelin implant) and Docetaxel infusions every three weeks (course completed yesterday).
My PSA is now 0.08 and still falling.
My medical team intends that I proceed with radiotherapy to treat the bone and possibly lymph metastases.
My Oncologist does not foresee any other medical treatment beyond continuation of ADT until my PSA starts rising again (castrate resistance).
Some of my reading indicates that Abiraterone with Prednisone to compensate for loss of natural aldosterone extends survival by a significant time.
I gather that the Abiraterone blocks the testosterone produced by the adrenal gland leaving none of this cancer 'food' for the disease?
My questions (that I have asked my oncologist and he is thinking about) are:
1. Should I contemplate the use of Abiraterone while still hormone sensitive? and
2. If I choose this course of action how long will I have to take synthetic steroids or does the Adrenal Gland recommence the production of Aldosterone when the Abiraterone treatment is stopped?
I note that in Australia, medical benefits don't cover Abiraterone until there is evidence of castrate resistance, but the cost is not prohibitive.
Any advice on this would be very much appreciated.