Good morning all
My husbands PSA is on the rise. In 2017 he was diagnosed. Gleason 7/8 Did 42 radiation treatments and Lupron injections. 1 year later PSA on the rise. Had Axumin scan that showed Pca spread to pelvis and retroperotonial. (One of the unlucky 5 percenters who’s prostate cancer is outside the prostate). We decided on radiation treatments to both area. Started Xtandi. 4 weeks later he ended up with lymphadema left thigh.
10 months later the Xtandi is no longer working. First of all his PSA never went below 0.7. Once it reached that number it went to 1.15 then 2.14 and recently 2.95. Had CT scan of chest, abdomen, pelvis and bone scan. Both confirm spot on left hip. Ct also showed spot at L4 vertebrae. Dr wants MRI of both areas to be sure L4 is what we think it is. He is recommending radiation again to both areas and change of meds to Erleada How do we pick next treatment plan? At Dr appt Dr Oh said, “I’m your dr and I can choose for you....let’s do Erleada.” Literally putting your life in someone else’s hands So scary but that is his recommendation
Lastly, we had Foundation do gene mapping. Dr talked about ERG Fusion. Would like input on my husbands next plan of care from anyone who may have heard of or tried Erleada. As well, some help with gaining a better understanding of what ERG Fusion means. Dr Oh said there is no formal treatment Re:ERG Fusion.