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[Srbergman]

Diagnosed two years ago. At diagnosis Gleason 7 3/4 3 vertebrae Mets and pelvic lymph node involvement. PSA 30. I have been on zytiga and Prednisone for 6 months and PSA has been raising the last 3 months. Now at 3.6. Having chloine C11 pet scan and MRI at Mayo Clinic end of the month. Appointment December 3rd with Dr Kwon. My question is what maybe my options.

[Tall_Allen]

Docetaxel would be a good next step

[Magnus1964]

Radiation would be a good possibility with casodex. Then you could go on xtandi.

[Hidden]

I’m not at Mayo . Wish that I was ...I think that you’re in good hands there with a specialist . You should get some answers here . Please let me know what Dr. Kwon suggests ... don’t quit now ,it might take the kitchen sink to knock it out . APC is a long -winded bastard ...if you have to hit it some more ,do it and don’t look back . Good luck in battle ....

[Srbergman in reply to Hidden]

Thanks to all of you. I will let you know how things go at Mayo. Thanks again

[j-o-h-n]

BTW give us more info about yourself. age, location, doctor's name(s) and etc. All info is voluntary. Thank you....

Good Luck, Good Health and Good Humor.

j-o-h-n Sunday 11/24/2019 6:59 PM EST

[Srbergman in reply to j-o-h-n]

John, I am 67 years old and live near the Quad Cities in Iowa. My treatment for the last 2 years was at the Goshen Center for Cancer Care in Goshen Indiana. Move to Iowa last May to help take care of my mother-in-law who has Alzheimer's. When zytiga quit working I decided to get an appointment at Mayo Clinic. My doctor in Indiana wanted me to do chemotherapy and I decided to see if Mayo would recommend the same. Thanks guys for all your responses.

[j-o-h-n]

Thank you for your quick and detailed response. You may want to copy and paste that information on you home page (under your name) for future reference and inquiries by other members.

God will honor you for taking care of your mother-in-law.

BTW I've heard many good references regarding Dr Kwon at Mayo. Hopefully good news on 12/03/2019. Take someone with you as a scribe...

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 11/26/2019 6:16 PM EST

[westof]

Hmm... Just curious, have you been given Lupron?

Here is my history since dx (8/18): I turn 71 in December. G9, stage 3 and high PSA was 28 (no mets). HDR Brachy (April 26th) and 25 days of IMRT.

PSA has held steady at <0.014 since 4/19 (when I went off Casodex and Lupron and switched to Lupron, Zytiga and prednisone).

Just my experience...

Best

[Srbergman]

Been on Lupron since being diagnosed. Side effects for me have been tolerable. Hot flashes have increased a little since starting zytiga but still bearable. Was on casodex with Lupron for the first 8 months. PSA never got below .98