Back to doxetol

[Muffin2019]

After seven months on cab it kicked my ass, two months now back to doxetol that I had in 2018.my PSA rise to 502.4, after the first infusion it dropped to 194.4 a much needed surprise. I am scheduled for a consultation with radiology to see what there plan is for the lesions on the liver. Tolerating the chemo good, fatigue and taste buds off but all in. Do they radiate the liver and what other options do they have, they took a biopsy a month ago and it ordinary prostate cancer not the small cell or aggressive kind. Would they do both the continuation of chemo plus radiation and what would be the side effects of the radiation treatments ? They would be radiating the right side of the liver from what I saw on the ultrasound I think. Not experiencing any pain and the liver readings are normal .

[Tall_Allen]

They can sometimes do radioembolization if the liver lesions are in the right place. It may slow the loss of liver function.

[Muffin2019 in reply to Tall_Allen]

What does that entail, the drop in PSA was nice ? Will it get rid of the lesions ? I will be continuing the chemo as of now. I will report what they are going to do in a further post, I have made sure any food or alcohol to aggregate the liver and the blood readings are normal so far.

[Tall_Allen in reply to Muffin2019]

It entails insertion of radioactive (Y90) beads upstream of the lesions.

[David1567 in reply to Tall_Allen]

I am not sure I ever hear of that TA, is it done by an RO ?

My husband recently had his liver lesions treated by SBRT, he was told there couldn’t be too many (less than 5 unless they were very close to each other) and not too large, no major SE just a little tiredMuffin2019 I don’t think they would do it during chemo but chemo should shrink them. Especially Doxetaxel?

his liver lesions all shrank to 1/2 the size and result would have been better if abiraterone hadn’t been failing at the same time. Best of luck in your treatment and keep us posted how to treat those unruly liver Mets!

[Tall_Allen in reply to David1567]

I think it's done by an interventional radiologist.