Is it where you start, or where you e... - Advanced Prostate...

Advanced Prostate Cancer

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Is it where you start, or where you end up?

SC19 profile image
SC19
5 Replies

Hello,

I wondered what people's thoughts are on the following: Which is more important where you start your diagnosis, or how you respond to treatment? If a man diagnosed with wide spread bone mets manages to get his PSA to an undetectable level with aggressive chemo/hormone treatment, is he then in a better position than a man diagnosed with, say a lymph node met, who manages to get his PSA to a low level with radiation but is not undetectable?

Thanks in advance.

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tom67inMA profile image
tom67inMA

Good question! I have wide spread bone meets and am currently undetectable. I've watched others here with less widespread and supposedly less aggressive disease fail one treatment after another as their cancer slowly continues to grow and spread. Response to treatment is very important.

On the other hand, I am mildly symptomatic, and those with less wide spread disease typically aren't. I'm incurable, while those with only a few mets, or only localized disease, have a shot at a cure. So given comparable response to treatment, it's better to have less disease.

in reply to tom67inMA

Less is best.😂

Neither! It’s the journey , and smelling the flowers along the way . We all will end up the same in time. “ Pluck the day” or it will pluck you . Take care .

tom67inMA profile image
tom67inMA in reply to

Still working on "savor the cystoscope", not as inherently enjoyable as sniffing flowers :-)

in reply to tom67inMA

Self cathing is worse . Good luck on the scope . Anytime away from docs need to be appreciated. Take care Tom..🕊

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