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

Advanced Prostate Cancer

22,349 members28,110 posts

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

Written by
Chris52981 profile image
Chris52981
To view profiles and participate in discussions please or .
Read more about...
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 toTall_Allen

He had radiation and Lupron not prostatectomy - does that matter

Tall_Allen profile image
Tall_Allen in reply toChris52981

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 toMagnus1964

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 toChris52981

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 toBoywonder56

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

Not what you're looking for?

You may also like...

Can a case be made for ADT vacation during a 4week radiation therapy?

I would like your opinions. It seem to me it might make the prostate cells more radiosenitive...
nuc1111 profile image

I want to find out ......

I want to find out how many patients out there had, at diagnosis, Gleason 8 or higher and after...
motosue profile image

Bit Of An Intro

Hi everyone! Just joined this morning and was encouraged to share a bit of an introduction. My wife...
Hakka profile image

Prostate Cancer and using Androgel to Re-activate Testosterone Levels

I've always heard that testosterone is not good if you have prostate cancer. But I've been reading...
Prellch profile image

Moderation team

Bethishere profile image
BethishereAdministrator
Number6 profile image
Number6Administrator
Darryl profile image
DarrylPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.