Hello my brothers,
So I am 10 years into my battle and have been so very lucky as compared to many. My cancer was caught early. I have no bone mets, and the few lymph node involvements have not grown for a few years now.
Here's my conundrum: my Gleason is 9. I've had the prostate removed in 2009, 2010 saw 13 weeks of RT, and then nothing until 2012, when PSA rose again, Lupron for 4 years by itself was effective, Then in 2016 Lupron + ADT and prednasone, until late 2018, and now in 3'rd month of Xtandi, however after 2 months of decline the PSA blipped up just a tad.
What I don't know is what are the next steps for a man with essentially no mets if the Xtandi continues to fail. I meet with my Onc on Monday the 18'th and want to have some alternatives to present.
Thanks and peace be our journey!