Diagnosed with the terminology language: Advanced Prostate Cancer, Metastatic, Stage 4. This will overwhelm generic Medical Oncologists, getting a PCa Oncologist is best choice...
Patient Encounter Stats: Age 58, PSA 1000+, GS 8, Extensive Pelvic tumors, Metastasis throughout Thoracic and Lumbar Vertebrae findings. Biopsy pending for Vertebrae findings...
Excerpt from prostate MRI:
"TECHNIQUE: Multi-parametric MRI of the prostate gland and pelvis was performed at 3.0T, with a phased-array surface coil. Sequences utilized included T1WI, T2WI, diffusion weighted imaging (DWI and ADC mapping) and dynamic contrast-enhanced (DCE) imaging in multiple planes. Post-processing and 3-D image evaluation was performed using DynaCAD software on an independent 3-D workstation."
"FINDINGS: The calculated volume of the prostate gland is 137 cm3. There is a large mass infiltrating the prostate gland encompassing the entire gland but more on the right than the left with dimensions of this is great as 6.3 cm in diameter.
The mass demonstrates restricted diffusion. Extends into the right periprosthetic softt issues and is invading the floor of the bladder..."
1. There is a large mass in the prostate gland predominantly on the right side of the gland with extensive pelvic metastatic disease, there is invasion of the bladder and metastatic disease involving sacrum. All these findings are new compared to the prior examination from 2013 (Age 53, GS 7)."
My Current State:
After 2 months of Lupron (6 months dose), Daily Zytiga 1000 mg/Prednisone twice daily 50 mg and daily Casodex. I have no pain, just some fatigue and mental acuity issues, no symptoms with as my work is software development, ironically, in bioinformatics domain.
Current PSA 2.1 from initial dx of PSA 1000+
I've been posting here, but have not established my own base situation, the journey starts.
I'm in the Boston area, have the Lahey Health Systems as front line healthcare and Dana-Farber as my second opinion team.
I'm going to challenge my medical teams to consider BAT and other treatments, engage!