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Advanced Prostate Cancer

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Peeffervescence profile image
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63yo, 4+4=8 Gleason, PSA 0.05 (56 before treatment).

I’m doing the triplet treatments with Lupron, Nubeqa, and taxotere (for chemo). My med oncologist has called it the STAMPEDE trial, although I’m not actually in a trial. I was diagnosed last August and recently finished chemo. I’m still on ADT. I plan to start radiation (EBRT) in September

I only have two measurable mets in my pelvic lymph nodes. My med oncologist says I have a “light load”.

I don’t have a question at this point, I just wanted to introduce myself to the room. I find your comments pretty uplifting.

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Peeffervescence profile image
Peeffervescence
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Derf4223 profile image
Derf4223

In my most recent appt with my MO, with continuing undetectable PSA, she said "when responding well, ride the wave." Its understandable to have some anxiety at your point, but if your PSA ain't rising, ride the wave.

Tall_Allen profile image
Tall_Allen

There is some confusion, and I hope you will get a second opinion.

There are two different trials. The STAMPEDE trial showed the benefit of 2 years of abiraterone and 3 years of ADT combined with radiation therapy for men with positive lymph nodes but no distant metastases. This is your situation.

ncbi.nlm.nih.gov/pmc/articl...

The triplet therapy you describe was proved in the ARASENS trial, but only for men with distant metastases. Discussed In Section II:

prostatecancer.news/2021/05...

There has never been any benefit shown to using Taxotere when metastases are restricted to pelvic lymph nodes. There is only a benefit when distant mets have been detected. Please read this:

prostatecancer.news/2016/08...

j-o-h-n profile image
j-o-h-n

Greetings (5 months late)...

Let us know where you're located and where you're being treated (info voluntary, but if added to your bio, it helps us and helps you).....Pee ffer effervescent, does that mean when you pee you make effervescent bubbles in the toilet water (like the soda stream machine)? If you do, I can get you a spot on the tv show America's Got Talent. Let me know...

j-o-h-n <===<<< Senior management is about to spike my spikes....

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 04/05/2023 3:48 PM DST

monte1111 profile image
monte1111 in reply to j-o-h-n

You haven't been spiked yet (No question mark needed.)

j-o-h-n profile image
j-o-h-n in reply to monte1111

You're on target.........Flight Leader...

j-o-h-n <===<<< Senior management is about to spike my spikes....

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 04/05/2023 6:48 PM DST

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