survival rate and outcome mcprc prostate cancers

[aidasmt]

hi everyone my dad 69 years old .4 years ago had prostactomy and Gleason is 9 and involved seminal vasicol and 3 lump node after 1 year had radiotherapy and psa go nadir

2 year later psa rise he use abiraton astate but not so effective 7 months later use psma lu 177 and stable psa at 19 but not rise and down

He use psma but don’t use chemotherapy until now

Oncologist say if psa rise we should use chemotherapy for example Docetaxel

Do you have any experience? How long my fother can live ? Iam so depressed

If my English isn’t correct iam so sorry iam iranian people

[dorke]

Hello,

How long your father can live nobody knows, even not the doctors.

One thing this illness made for me is to realize I should live each day and try to enjoy it as much as possible without thinking what the future will bring.

I was diagnosed on April 2018 Gleason 9 and BRCA 2 carrier.

I've done hormonal therapy (Lupron + Abiraterone) for 2 years, radiation twice , back to hormonal therapy and 5 months ago I finished 6 rounds of chemotherapy - Docetaxel + carboplatin. Immediately after I finished chemotherapy I started taking Darolutamide.

Chemotherapy was no picnic but not as bad as I imagined.

Few things I would discuss with doctors:

- There are a few alternatives to Abiraterone - Enzalutamide, Apalutamide, darolutamide which can be considered

- Triplet treatment of Chemotherapy hormonal therapy and Darolutamide was proven to be effective

Does you father goes thru some regular imaging ?

There are much more knowledgeable people in this forum which I hope will join and give their insights on your question.

Best of luck

[aidasmt in reply to dorke]

tnx for your advice, my father just use Abiraterone and Lu 177psma . programs of doctor if psa rise is use Docetaxel. Enzalotomide is effective but there isn’t in iran and when I want I pay a huge price. You right advice I don’t think death but I am so nervous.

[j-o-h-n]

Greetings aidasmt,

As dorke said ...... No one except our maker knows the answer about how long will your dear Father live.

We here have the same question about death but we came to the conclusion not to worry about dying.... worry about living. Make sure you and Father (and family) take one day at a time, get good medical help and pray to your maker....Keep posting here since there are very learned members who can help you and your dear Father.

p.s. your English is understandable....

Persian Below:

با سلام خدمت شما

همانطور که دورک گفت ...... هیچ کس جز سازنده ما نمی داند که پدر عزیز شما چقدر زنده است.

ما اینجا همین سوال را در مورد مرگ داریم اما به این نتیجه رسیدیم که نگران مردن نباشیم... نگران زندگی کردن باشیم. مطمئن شوید که شما و پدر (و خانواده) هر بار یک روز وقت بگذارید، کمک پزشکی خوبی دریافت کنید و به سازنده خود دعا کنید... به پست کردن در اینجا ادامه دهید زیرا اعضای بسیار دانشمندی وجود دارند که می توانند به شما و پدر عزیزتان کمک کنند.

p.s. انگلیسی شما قابل درک است ....

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 02/02/2023 7:00 PM EST

[aidasmt in reply to j-o-h-n]

tnx a lot dear . ❤️❤️❤️