doc says 9-12 months more for my dad

[A-rat-22]

hi all,

so my dad has been diagnosed with small cell carcinoma (mets on liver) along with metastatic stage 4 PC (gleason score 4+3). He was diagnosed with PCa in November - started triplet therapy right away (Docetaxel, Enzalutamide & degarelix) his PSA dropped to negligible from over 200.

he started experiencing pain in his abdomen last month or so. Upon further investigation it was found that the cancer has spread to his liver. His liver functions came out perfectly alright but the pain. So the doc put him on abiratrone now. After his latest PSMA PET scan doc has confirmed the cancer is progressing and since its small cell carcinoma & PCa - we don’t have much time he says. He has said my dad has 9-12 months if we do chemo and even lesser if we don’t.

Anyone in the same boat, pls share your experience and what treatments worked for you. I don’t believe its the end of the road for him. Looking for some hope.

We are in India - any doctor suggestions are welcome.

[Benkaymel]

Very sorry to hear of your dad's situation. What is his PSA level now?

[A-rat-22 in reply to Benkaymel]

his latest psa is 1.57

[Tall_Allen]

Discuss adding carboplatin to his chemo cocktail.

[A-rat-22 in reply to Tall_Allen]

they have started Atezolizumab with Etoposide + cisplatin. Is that the correct course in your opinion?

[Tall_Allen in reply to A-rat-22]

I hope it works.

[Hidden]

Dr Ishita Sen in New Dehli. They can offer lu177-FAPI against small cell pCA

[androgeen]

I am sorry to hear this story. The experience I have with enzalutamid is good but there severe side effects to this drug. Become more fragile and less energized. Better possible options are psa linked antibody radioactive therapy since the tumors are spreading. Wishing you all the best

[A-rat-22 in reply to androgeen]

thank you

[Poppi07]

the carboplatin + etopiside worked well for my father. He also did radiation to pelvis at stage 4. He’s still here 5 years later but now have progressed.

[A-rat-22 in reply to Poppi07]

Does he also have small cell carcinoma w. Mets to the liver?

[Poppi07 in reply to A-rat-22]

he had small cell variant. Not in his liver. Bone Mets only so far

[dudubaya]

Sorry to hear that brother , can understand the anxiety and anguish...stay strong and pray to the almighty