Planning Ahead. Input very welcome
Looking at future options. Would welcome input from you very knowledgeable folks.
History: Dx Feb 2012 (PSA 7.7 Gl3:4, Age 51). Met to a rib (resected in diagnosis). T1/No/M1 - Zoladex 10.8mg/3 months.Early 2013 – elected radiation to prostate bed 57.5 Gy/25FR. PSA nadir <0.01 June 2014. Ceased Zoladex one year later. PSA slowly rose, reaching 0.58 June 2020. PSMA scan revealed met in pelvic lymph node. June – radiation 57.5Gy/25Fr. Nadir 0.10 reached Oct 2022. PSA bouncing around – apex Jan 2023 (0.20). Now 0.16.
Best options ahead – noting I’m based in Australia under Peter Mac hospital (best cancer centre in country)
1. Keep current regime and wait till PSA reaches 0.5. PSMA scan with option for further radiation treatment if found in a couple of spots. Not sure if my ROnc would do this?
2. Re-start Zoladex but at what PSA level should I start?
3. Combination of 1 and 2
4. Am I missing some other treatment option?
Your input would be very welcome. Much appreciated.