metastatic prostate cancer - Advanced Prostate...

Advanced Prostate Cancer

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metastatic prostate cancer

Chris52981 profile image
10 Replies

my dad has castrate resistant metastatic pc in bones- currently his psa is going up but his scans have been stable- he gets them

Every three months- after Zytiga and xtandi are there still many treatments available- the scans were stable for over a year and he gets them

Every three

Months-

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Chris52981 profile image
Chris52981
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10 Replies
Tall_Allen profile image
Tall_Allen

Has he had docetaxel yet?

Chris52981 profile image
Chris52981 in reply to Tall_Allen

no- he is 81 - do people do well

On that?

Tall_Allen profile image
Tall_Allen in reply to Chris52981

It is the best single drug for PCa, IMO. Now, combinations are proving even better. Age is not a restriction, only if his blood work is poor. It is always tragic when men wait too long to use it. It is more effective and causes fewer side effects when used earlier.

Ian99 profile image
Ian99 in reply to Tall_Allen

TA, if the scans show no radiographic progression, isn’t it better to wait till the cells begin to divide before starting chemo ? Otherwise I understand that the patient absorbs much of the toxicity. I am in a similar situation myself which is why I ask. Thanks.

Tall_Allen profile image
Tall_Allen in reply to Ian99

Yes! No need to change therapies until there is clear progression. He was asking what treatments are available, not when he should initiate it. Usually PSA>2, rapid PSADT, or radiographic progression are signals that it's time to change therapies.

Ian99 profile image
Ian99 in reply to Tall_Allen

Thanks for the confirmation.

garyjp9 profile image
garyjp9 in reply to Tall_Allen

TA, what would be considered a "rapid" PSADT?

Tall_Allen profile image
Tall_Allen in reply to garyjp9

No firm definition, but <9 months at maximum.

garyjp9 profile image
garyjp9 in reply to Tall_Allen

Thank you

Chris52981 profile image
Chris52981

the only thing are his platelets due to liver issues like fatty liver disease so they run under 150

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