Very similar to me. Dx 7/2/2018, G8, 2 rib and 1 iliac bone met. Given 18 months by my dick head urologist. Still doing well. My suggestions: go to MD Anderson. RT to prostate, Lupron and abiraterone. RT later to Mets
1. Read up on triplet therapy. All things being equal there is no question that it's a big advantage.2. Read up on oligometastatic and see if you qualify.
After triplet therapy has shrunk your tumors, you have a small enough metastatic burden that it may be beneficial to debulk the cancer in your prostate with radiation. Perhaps after shrinking it will be clearer whether cancer has invaded the rectal wall.
I was also dx with metastatic cancer almost 10 years ago. You can read my profile to see what I’ve done. It’s really important to have an MO who specializes in prostate cancer and not just an MO. Aggressive early treatment, really good doctors and lots of prayers are working for me.
I went to California Protons in San Diego for pencil beam proton therapy,Had a great experience there.They are excellent.Highly recomended.Whether tx there is appropriate for you would be determined by their examination of the details of your cancer.
my husband was diagnosed with metastatic cancer. He had 3 spots on spine and one rib and prostate. He started Lupron, abiraterone and prednisone. He did SBRT to 3 spots before we went on vacation, and he’s getting SBRT this week to sacrum and prostate. He was never offered chemotherapy. He’s had mild side effects from hormone Rx (hot flashes) and none with radiation so far. Hopefully radiation to prostate will go ok. He did get spaceoar to help protect rectum.
I share EdBar's comments above. I was diagnosed in 2016 with Gleason 8 and oligometastic APC. I was 67 and in very good health so I decided to treat my APC in the most aggresive way possible - so long as the treatments would not kill me. I also searched for the best physicians that I could find. In 2017 I started 2 years 5 mos. of Lupron and 21 months of Zytiga. I also had an RP, 2 sessions of SBRT and about 40 sessions of IMRT to my prostate bed. My APC has been undetectable since 8/2017. I hope my history helps you.
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