I am posting this on behalf of my father. We are currently located in south india. I wanted to see if current treatment option suggested is the right one
* My father ( 69 yrs ) saw a urologist about 10 weeks ago urinary blockage, pelvic and rectum pain.
* Urologist did a psa test and PSA: 100 , the test was repeated the next day and PSA: 114
* Catheter was put in to relive pressure on kidneys and relive pain.
* Biposy of the prostrate:
Gleason 4 + 3 on all 6 cores , greatest % of core involvement of 61-70%
* PSMA Pet Scan :
GA-68psma : avid irregular mass legion in prostate involving base of the bladder and anterior wall of rectum
Avid multiple enlarged pelvic lymph node metastasis
No other evidence in the rest of the body
* Put on 3 month lupron depot injection 2 weeks ago.
* IMRT radiation to follow in 3 months time
I have been researching this disease a lot and haven't been able to get clear answers form oncologist here in India. Doctors here don't expect questions from patients and don't feel the need to give clear explanations. Drs in usa sound so knowlegble and patient.
*. I am wondering if current treatment is aggressive enough. I am worried that we'd miss a chance to use chemo/docetaxel on currently castrate sensitive cancer.
* One oncologist suggested that we might add xytiga 4-6 months down the line . Not sure what that is about.
* I don't trust radiologists here to do SBRT so we are ok with IMRT. We do have an option to do proton therapy here but its very expensive and I am not entirely clear if its actually better than IMRT.
I am so glad i found this forum and i am hoping to talk to other ppl here and post our journey here for others benefit.
May I suggest you get a consult with Vedang Murthy at Tata Memorial Hospital in Mumbai? He is an excellent radiation oncologist. A lot depends on exactly where those lymph nodes are, the degree of penetration into the rectal wall, and your father's personal anatomy.
Hello thank you for your response. I contacted Tata memorial to get a consult with dr murthy but was told that he is currently not ‘active’ so can not do consults atm
I sent him an email - maybe he went elsewhere since we last communicated. I'll get back to you.
oh wow. Thank you so much !!! Tall_Allen
BTW- I can answer your question about docetaxel. It's been found to not add very much when there are no distant metastases.