I came right out of the gate with Gleason 9 Stage 4 Advanced Prostate Cancer with more than 5 Metastases in January of this year.
Firmagon brought the Testosterone down to < 7 almost right away, but PSA went to 160.
Zytiga and Prednisone were added in March and brought the PSA back down to 5.
The PSA starting rising again about 2 months ago and is back up to 90.3 as of a blood test yesterday.
The VA Medical Oncologist stopped the Zytiga and ordered a PSMA PET Scan which was scheduled for January 19.
The MO discussed the likelihood of Radium 223 for the bone metastases, some sort of chemo, if soft tissue cancer is found; and, he mentioned Xtandi.
The bone metastases on my ribs, hips and sacrum are causing me enough pain to interfere with me getting to sleep right away.
The MO said he would order opioids for me if it became necessary; my call.
2 Naproxen 240mg tablets orally twice daily and (Lidoderm) Lidocaine 5% patches are taking care of the worst pain for now.
Yesterday's lab test results below:
PSA (ONCOLOGY) 90.300 High ------Reference ng/mL 0.01-4.0
TESTOSTERONE (VA) <7.00 Low ------ Reference ng/dL 241-827
ALKALINE PHOSPHATASE (VA) 385 High ------ Reference U/L 45-117
We are on hold, as far as therapy for possible soft-tissue tumors is concerned; waiting for the results of the PSMA in about 3 weeks.