I am looking for some help understanding this and next step
Rx metastatic in November 22 psma pet... - Advanced Prostate...
Rx metastatic in November 22 psma pet scan in August 23 showing no mets
Of course it showed no metastases- you are on ADT. It was a useless scan. Continue with your hormonal therapy - it's too late for triplet.
How many bone metastases were diagnosed?
Why is it too late for triplet?
Triplet only works if used from the start. Chemo only acts on rapidly growing cancer.
Not what both of my MO’s said but ok.
If they don't know that chemo only acts on rapidly dividing cells, you need new MOs. Triplet has to be used at the start or not at all, or at least not until CRPC. When chemo or advanced hormone therapy is used as monotherapy, protective mechanisms (like cellular senescence) kick in soon afterward. It protects the cancer cells from destruction by the other medicine. They have to be used together or wait until the first drug stops working.
I don’t understand the comment that this is a useless scam. It was a PSMA scan I am in a similar situation at the moment.
I think your oncologist recommends radiation based on this study: esmo.org/newsroom/press-rel... This radiation will make you live longer but will not avoid ADT.
If he wants to burn your bed...... that's usual protocol.... so no worries but make sure Doc RAYgun knows what's s/he knows what s/he's doing.... I had 39 sessions......no issues at all then but later left urinary stent was found to be fried.....As the referee says to boxers before the fight "protect yourself at all times"........
Good Luck, Good Health and Good Humor.
j-o-h-n Friday 09/01/2023 2:06 PM DST
They said that to me in catholic school.....while i stood there in boxers.......
Your cancer may not be generating much PSMA . Often an FDG pet/Ct can more clearly show active PCa.