ADT for how long..: Hi, folks. I... - Advanced Prostate...

Advanced Prostate Cancer

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ADT for how long..

Justt profile image
11 Replies

Hi, folks. I underwent whole pelvic irradiation 6 months ago - prostatectomy (2019), PT3A, and lodge irradiation (2020), just after gallium PSMA picked two small illiac nodes with PSMA around 2,5, both. My doctor had said I would be given 6 months of ADT back then, but now he just tripled the journey to long 18 months. Does that sound like average for cases like this??

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Justt
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11 Replies

Confused on your paragraphing.

Are you saying you received pelvic radiation 6 months ago, due to finding hot nodes?

Also what is lodge irradiation.

If Im correct on this timeline, why didn't you get another PSMA after latest radiation?

What's your PSA now??

Justt profile image
Justt in reply to

Hi, my PSA decreased from .29 to .02. I just found the answer on a PCF page hère which says: "" Results from the RADAR clinical trial presented at the 2018 ASCO Genitourinary Cancer Symposium indicate that 18 months of ADT could very likely become the new standard of care. The RADAR trial demonstrated that 18 months of androgen deprivation therapy (ADT) is significantly better than 6 months of ADT at staving off prostate cancer progression and mortality in men with locally advanced prostate cancer, in combination with radiation therapy (RT)."" Tks!!

Tall_Allen profile image
Tall_Allen in reply to Justt

TROG RADAR screened out men with cancerous lymph nodes, like yourself.

Tall_Allen profile image
Tall_Allen

The standard of care is 3 years of ADT and 2 years of abiraterone with salvage radiation.

Justt profile image
Justt in reply to Tall_Allen

Tks

efsculpt profile image
efsculpt

Justt:

I had a total of 2 years. -3 months of ADT +Zytiga+Prednizine, then whole pelvic, then 21 months. If I had to do it over again, I would choose 20 months total. It seemed like, at 20 months, I started having more negative side effects.

Craig

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

Justt till the cows come home....

Good Luck, Good Health and Good Humor.

j-o-h-n Friday 10/06/2023 4:56 PM DST

Jmr11820 profile image
Jmr11820

What was your PSA when you determined you had recurrence post prostatectomy?

Jmr11820 profile image
Jmr11820

Disregard my earlier question, just read your other posts. Best to you.

Runner1957 profile image
Runner1957

I had 18 months ADT and all clear now. Its tough as time goes on but I'm recovering well.

Runner1957 profile image
Runner1957

I had 18 months ADT and all clear now. Its tough as time goes on but I'm recovering well.

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