f18 pms a pet/ct scan shows 2cm tumor... - Advanced Prostate...

Advanced Prostate Cancer

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f18 pms a pet/ct scan shows 2cm tumor in prostate with no Mets Witt nubequa without Lupron failing. May be castrate resistant as I been on l

rococo profile image
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F18 Pima pet/cats an shows 2 cm tumor in prostate with no Mets. Nubequa without lupron faling, may be castrate resistant as I been on lupron before. What to do now thats not too invasiive unless necessary. Thanks fo any comments before I call a radiation oncologist to see if I can re irradiated s rat image guided brachytherapy cryotherapy or Gifu in order of preference. Lastly robotics

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rococo
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Tall_Allen profile image
Tall_Allen

Nothing in your profile. Is this a recurrence? If so, what was your previous treatment? If you are using Nubeqa, you've had metastases. How many, and where? At minimum, you might add Lupron to see if that shrinks the prostate met.

rococo profile image
rococo in reply toTall_Allen

Ian 83 and had 3d conformal beam feb,2000, Nubeua given to forstall Mets and it did. Only have peanut size on left side of prastate

Tall_Allen profile image
Tall_Allen in reply torococo

So you got Nubeqa when you had rising PSA while taking Lupron? And then you stopped Lupron?

It is likely that you didn't have enough prostate radiation in 2000 to get rid of all the cancer in your prostate. Brachytherapy is your best bet.

rococo profile image
rococo in reply toTall_Allen

Thanks tall Allen..thinking of this option but was hoping sort might do trick some say with less side effects and similar outcomes. Trying to find a rad, onc, does around buffalo ny area

rococo profile image
rococo in reply torococo

Sorry mispelled sbrt stereotactic body radiation therapy

Tall_Allen profile image
Tall_Allen in reply torococo

You can do focal brachytherapy or whole gland SBRT

rococo profile image
rococo in reply torococo

According to psma/pet/ct scan no uptake of bone or lympnodes, only intense uptake on left side of prostate. Getting rid of this 2cm volume tumor might be durable remission or better

rococo profile image
rococo

Would appreciate any helpful input.

GP24 profile image
GP24

I had SBRT radiation of a recurrence at my prostate without side effects. They radiated just the visible lesion.

Here is an overview of your options:

europeanurology.com/article...

rococo profile image
rococo in reply toGP24

Where did you get your sort done. I been searching near Buffalo ny

GP24 profile image
GP24 in reply torococo

I do not live in the US. The nearest center for you is in Syracuse:

hoacny.com/our-services/rad...

accuray.com/treatment-centers/

rococo profile image
rococo in reply toGP24

Called Saracuse they don’t re irradiate a reccurrence in the prostate gland with their cyberknife sbrt. So sorry

GP24 profile image
GP24 in reply torococo

I would look into HDR brachytherapy then.

rococo profile image
rococo in reply toGP24

Maybe I’ll just stick with the meds as Nubeua fails try fermagon first to suppress tumor while better treatments become available. After all meds kept it controlled for 20 years from first Psa reccurrence

GP24 profile image
GP24 in reply torococo

That is a valid option for you. I personally try to remove tumor if possible. It may well be that other SBRT clinics will radiate you, it is the decision of the RO there. Here are two clinics in Pennsylvania:

geisinger.org/patient-care/...

hillman.upmc.com/difference...

rococo profile image
rococo

Very much appreciated gp24. Will give them a call

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