Took dad to his MO today, the appointment I was dreading, I was thinking they would say, were done since he has suspected LMD . This was not the case at all. His labs were all better than they have ever been, psa was 2 and kidney functions, testosterone everything was better than they have ever been, stable bone mets, heading into year 8 with stage 4. His oncologist says dad is doing very well and he had him do some coordination and strength tests and he did extremely well. Dads last MRI of the brain showed EITHER a mild increase in LMD OR increased inflammation from post radiation changes. It has been 7 months now since finding the dural mass behind his brain which they think is a grade 2 meningioma vs prostate ca.
They gave him his lupron and xgeva shot and refilled his xtandi, follow up mid july in 6 months. He said that dad has some tangential speech going on (subject jumping) but overall for almost 91 he's doing very well. Dad has no pain, he hasnt taken a pain pill in over 5 years, he has stable bone mets from ribs to pelvis, however the past few weeks he's had a bit more brain fog and a harder time walking with his walker which he said could be from the brain inflammation or late effects from post whole brain radiation. Dad goes Friday to get his cataract taken care of and he's very excited. I bought a lightweight chair with wheels for around the house, my mom was against it because she wants him walking but he's fallen a few times lately and I explained to her that he's not being lazy by not walking, he has a brain tumor and lmd and needs some assistance when getting to farther distances in the house...mom is 89 and drives and runs the neighbors around and takes care of dad, she's a tough cookie too.
Update on my Dad: Liver Mets, next steps?
**UPDATE** & Help Needed - Dad with PSA 1200 stage 4 Original post is linked below
three months into treatment. Update on outcome and next step please.
SBRT for oligo mets ?
Eligard - delay by 1-2 months?
