Confused a bit : Can you be hormone... - Advanced Prostate...

Advanced Prostate Cancer

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Confused a bit

Chris52981 profile image
10 Replies

Can you be hormone sensitive and still have metastatic prostate cancer because during your remission you were off all

medications. Because pSA went up during you remission and now you are going back on ADT and Second line hormones does

this mean your castrate resistant just because it did metastasized . I am confused! Thanks

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Chris52981 profile image
Chris52981
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10 Replies
Tall_Allen profile image
Tall_Allen

Yes, you can certainly be both hormone-sensitive and metastatic. For you, who are recurrent after prostatectomy there is evidence that advanced second-line hormonal therapy (or Chemo or Xofigo) is beneficial:

ascopubs.org/doi/full/10.12...

nejm.org/doi/full/10.1056/N...

ncbi.nlm.nih.gov/pmc/articl...

pubmed.ncbi.nlm.nih.gov/270...

Chris52981 profile image
Chris52981 in reply to Tall_Allen

He had radiation and Lupron not prostatectomy - does that matter

Tall_Allen profile image
Tall_Allen in reply to Chris52981

No - either way it is recurrent.

Magnus1964 profile image
Magnus1964

Just because one drug failed does not mean that other drugs would fail also.

Chris52981 profile image
Chris52981 in reply to Magnus1964

Right and thankfully at this point he didn’t fail Lupron he was just not on it cause he was in remission and thought the cancer was cured.

in reply to Chris52981

Hop back on .

Boywonder56 profile image
Boywonder56 in reply to

Thought you could cure whate ales us....put too sleep for while wich he did....but what we got aint g oin away..as i understand

Boywonder56 profile image
Boywonder56 in reply to Boywonder56

Sorry....could not cure what ales us....lupron today....

LearnAll profile image
LearnAll

Simple definition of hormone sensitive (androgen sensitive or castration sensitive ) is that these cancer cells die if you deprive them of testosterone.

OTOH, if the cancer cells do not die even after depriving them of testosterone then it is called Hormone Resistant or Androgen resistant or castration resistant.

Hormone sensitive or hormone resistance has nothing to do with whether it is metastatic or non-metastatic.

Chris52981 profile image
Chris52981

question if my dad was

Clean from

Mets 5 years ago and stopped the Lupron and now he has mets after 3

Years of

Nothing - is that too fast of

A spread or no

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