my oncologist is "whac-A- mole" type. He believes that my cancer can be controlled by robotic radiation for a long time.But my rising PSA after my first Cyberknife experience and the cost of treatment make me try other things.I don't really know what!!
You have to treat what you can't see. I don't know if "whack-a-mole" has any survival benefit (neither does your oncologist), but I do know that ADT does. I think many "whack-a-mole" enthusiasts make a logical error: there is no doubt that larger mets put out more PSA, and SBRT provides good LOCAL control of those larger mets; but what of all the thousands of systemic micromets that can't be seen? So the effectiveness of such treatment (i.e.,whether it improves survival) can't be measured by PSA.
All what you say is logic and I remember last year before my SBRT you advised me the same approach.......systemic treatment for metastatic PC.what worries me is how long it will work having already 3 IADTs.Moreover in the country where I live, doctors are not allowed to do combination of medicines..i.e ADT+ ZYTIGA(Stampede)
I will discuss with my doctor to start again ADT .May be Casodex only for some time. I hope with such a low PSA & no visible mets it may work!
I think it depends on whether you want to stay on iADT to give yourself a vacation from hormone therapy. Because you have artificially lowered your PSA, you will have to use bone scans/CT as your guide to radiographic progression. I agree with GP24 - switch to a conventional PSA test.
I was on IADT for 3times...one year each.I don't know how long it will work for me and once you become resistant to my opinion, it's hard to control this disease! May be DES is an option.
Allen and others recommended to you in the past not to get these ultra sensitive PSA tests done. If you would do that your PSA value would be undetectable and you had no reason to worry.
If your cancer is systemic and having no prostate TMO Whatever you use ultrasensitve or not if your PSA starts to rise it always continues that trend until you stop it with some kind of treatment.
I have this experience many times using ultra-sensitive tests.At 0.7-- rising from <0.003 the PSMA PETCT found 2 lesions.
It's in my plan,but I don't really know what I have to ask for PC .they told me they map over 700 genes.In Germany off course.please give details if you have any.thanks.
You do know that there are other sources that produce PSA; like adrenal glands, right? I am sorry , but in my experienced mind, the creation of stress is doing more to affect “nonexistent” problems. Your husband is currently considered undetectable with a <0.1 PSA. I do not know an Oncologist anywhere that bases treatment decisions on anything less.
He may have Prostate Cancer, but it is way too early for concern.
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