Hi all - just wanting your thoughts on this.
In my profile you would see full details but I will summarize here.
50yr old diagnosed Aug 2nd with PCA with spread to L5 and pubic bone. Original PSA was around 9 and put on Casodex for month, then Lupron every 3 months, plus Darolutamide. Just completed 6 sessions of chemo with Docetaxel.
Got call from RO yesterday and they want to do radiation now. Of course I trust my medical team but curious of HU opinions on this path.
Well, thats a great question. When I originally seen the RO they were going to hit my metastasis to help with some pain I was having. I havent had that pain (knock on wood) since all the other treatments (ADT and Chemo).
So, I guess I will find out when we speak next week. I think the plan back then was radiation to metas and THEN prostate but I could be mistaken - its been a long time now.
I enrolled in the EXTEND trial at MD Anderson. After chemo, I had whole pelvis, which I wanted, but then was randomized and they hit the one spot on the spine. I believe in killing the mothership.
yeah I like that thought too - lets hit this with everything we have right?
I have a bunch of scans upcoming - bone density, nuclear etc...but on the 5th they will do an MRI at the cancer center, then they will do the tattooing so they know where to hit each time.
Your age and diagnosis are somewhat similar to mine. I followed a similar treatment path to what you are currently on including adding radiation after chemo. One difference is that I did have my prostate removed. Since finishing radiation, I have maintained an undetectable PSA for 2 years and continuing. I am currently taking eligard and zytiga but will be discontinuing zytiga soon. I think you should be encouraged that you are on a good treatment path and I think you will get many years of good results from it. Stay strong brother.
My story similar to yours. I have an aggressive treatment team at Johns Hopkins. ADT, chemo, Darolutamide, RP, whole pelvic radiation and radiation to single bone met at T8. No off all treatment and PSA undetectable. I believe in trying to kill all visible tumor with radiation, assuming number of mets is <5.
You are off all treatments? Were you metastatic?
Nuttin like giving the old fucking Pca a zinger!!!
Good Luck, Good Health and Good Humor.
j-o-h-n
it's going to SBRT. Darolutamide + SBRT radiation is a great choice. Try to get PSMA PET scan and find out total spot.
radiation or no radiation
Triplet Therapy for HSPC
Moving forward after Triplet Therapy....
