What should I be expecting from Radiotherapy
I’ve had a good response from initial treatments
DX Dec 2021
N0 M1b PSA 102
Zoladex 3 month given 2 weeks after Bicalutamide
First PSA reading to give baseline in March 2022 before starting Enzalutamide PSA 0.2
Bloods taken again 3 weeks later after Enzalutamide started PSA .001
Scans that I’ve had MRI / CT / Nuclear Bone scan have showed only the one Met.
CT scan is booked for next week to then discuss scan later that month with Oncologist to look at Radiotherapy treatment to the Prostate and the metastasis assuming no progression.
This is being described as with a view to “consolidating” the disease
Could this mean a long durable remission ?
What treatment should I expect
Can this only ever be palliative and not curative.
Should I have a PSMA pet scan which I would need to pay for plus if I did and this resulted in micro mets showing it could take me from low volume to high volume and migrate to the point where I would get no radiotherapy so a double whammy.
What side effects can I expect it seems fatigue is again mentioned but there seems to be mixed information / advice in Google land.
Tall Allen has said that in the UK the radiotherapy is given once a week over 6 weeks but I may not of given as much information at the point of his commentary
Any thoughts and comments ?
Thank you in advance
Wow that is a great response. As yours appears to be low volume then you should qualify for radiation (us higher volume unfortunately do not). You really need a radiologist to explain the 'best' treatments available in the UK. It maybe worth going for a private consultation. I'm unsure if your low PSA rules out a PSMA scan but my understanding is PSA needs to be at least 0.10.
I would recommend to try and do weights and resistance training for the loss of muscle mass that occurs with ADT and Enzalutamide.Good luck, I think you can be aggressive now to try to go for very long term remission.
Thank you for your response and guidance and encouragement Best of luck to you in your treatments which have also responded well I see