question : hi everybody quick question... - Advanced Prostate...

Advanced Prostate Cancer

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Coolpops profile image
30 Replies

hi everybody quick question will cancer in seminal vesicle spread to lymph nodes i am on lupron and casodex after rp and after bcr seeing a RO july 29 any questions i should ask about treatment

scan shows hormone therapy is working

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Coolpops
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30 Replies
GP24 profile image
GP24

It may after a long time - several years. If they show up sooner, the cells already escaped the prostate before surgery.

Tall_Allen profile image
Tall_Allen

No telling where if anywhere it will spread to. It’s a risk factor. What was your PSA before adt?

Coolpops profile image
Coolpops in reply toTall_Allen

24 before 21 after and 21 after bcr went down to 1 so far w ADT

Tall_Allen profile image
Tall_Allen in reply toCoolpops

If no distant Mets on Axumin, Then you should have whole pelvic RT.

Longterm101 profile image
Longterm101 in reply toTall_Allen

What if distant Mets were found then what treatment option would u recommend

Tall_Allen profile image
Tall_Allen in reply toLongterm101

ADT

Longterm101 profile image
Longterm101 in reply toTall_Allen

And no radiation ?

Tall_Allen profile image
Tall_Allen in reply toLongterm101

It depends on how many mets

georgef16 profile image
georgef16 in reply toLongterm101

Agree with tall Allen but RT on top of adt may be even more effective....see dr. Eugene Kwon from Mayo clinic video on utube

Coolpops profile image
Coolpops in reply toTall_Allen

Thank you mrT

Coolpops profile image
Coolpops

I will get back to you on that

Tall_Allen profile image
Tall_Allen in reply toCoolpops

Of course they did. That's how you know there was cancer there - Stage 3b

Coolpops profile image
Coolpops in reply toTall_Allen

My bad you are right thank you

marykg46 profile image
marykg46 in reply toTall_Allen

My question has nothing to do with this thread but I don't know how to message you directly and you've responded to some of my posts. My husband's profile is on this site but I've made an error and logged on twice so I've got two profiles this one and another so you might find it hard to track his journey. Removed Nov 15 , seminal vessels involved, G9, T3 tumour (I think), 33 days radiation, continual rising PSA -last one in Jan x3 to 2.7, PSMA (new one) showed extensive lymph node involvement and bone mets to some ribs, sternum etc about to have second Lupron (3mthly) and specialist in a few weeks. I've had to be across this as his surgeon wants to manage rather than an oncologist. I can get his PSA and T results etc before we see surgeon and I want to know what to look out for. I think we pretty well have all the options available including 177-Lu if we want to access that as an oncologist we saw about suitability for a different trial said it was available. Basically, thinking about his history I just want to know what I should be looking out for with the results. We've never had good results so I'm not expecting them now. Be great if I'm wrong. I know you'll have some thoughts on this....

Tall_Allen profile image
Tall_Allen in reply tomarykg46

I'll private message you, so we don't kidnap this thread.

marykg46 profile image
marykg46 in reply toTall_Allen

Thank you . Wouldn't want to kidnap any thread! I've also followed J-o-h-n's advice to private message but the compose link doesn't work so I couldn't email either of you directly. Thanks for the advice though sounds good.

Tall_Allen profile image
Tall_Allen in reply tomarykg46

Didn't you get my private message? If you click on the "chat" button above, you should see a message from me. Also, make sure you have selected getting email notifications in "Settings"

Break60 profile image
Break60

I had two suspicious pelvic lymph nodes on MRI two years after RP which found SVI. So I had IMRT to all pelvic lymph nodes plus 12 months of ADT3. No recurrence there but elsewhere. See profile. Once PCa has escaped no telling where it will migrate to but pelvic lymph nodes are good prospects being right in the neighborhood!

dadzone43 profile image
dadzone43

what is abbreviation "BCR"? Not familiar; not in the list of abbreviations on this site.

Break60 profile image
Break60 in reply todadzone43

BCR= BioChemical Recurrence I.e. rising PSA

dadzone43 profile image
dadzone43 in reply toBreak60

thanks.

tsim profile image
tsim

Original Gleason score?

Coolpops profile image
Coolpops in reply totsim

24

in reply toCoolpops

That’s a Psa reading . Gleason is different . Two numbers put together . Mine was 4+4 = 8 Gleason ..

Coolpops profile image
Coolpops in reply to

Sorry it was 4+4

in reply toCoolpops

Same as I.. it could be a 9 or 10.. so it could be worse . Good luck coolpops. You’ll deal with it , as we all do .. hang in there .

Coolpops profile image
Coolpops in reply to

Thank you sir

in reply toCoolpops

☝️

elvismlv123 profile image
elvismlv123

The seminal vesicles are outside the prostate gland. Your prostate was removed? Correct?

If there were a chance of this spread would they not have removed your lymph nodes as well? Would they have done the RP?

My understanding is if there are mets anywhere prostate removal is a no go.

There have to be clear margins and no spread anywhere. I think checking lymph nodes is important to before surgery.

gleason9guy profile image
gleason9guy in reply toelvismlv123

I wanted to have the RP, but it was no go. Cat was out of the bag. I have to concur with what you say.

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