I introduce myself to you

[graal05]

Hi all

After reading the messages for a long time, I finally took the time to update my profile to describe my history of the disease. That's it

Take care of yourself,

I live in France, I was born in April 1963, I am married and I stopped my professional activity 10 months ago

Diagnosed 09/2019, PSA 6.4, Biopsy: 6 Gleason 7 (3+4) right samples, 1 sample

left side Gleason 8 (4+4) . Radical Prostatectomy 11/2019.

Postoperative Conclusion :

Infiltrating prostatic adenocarcinoma with a single bilateral posterolateral focus, predominant to the right of Gleason score 4 + 5 = 9 - Grade Group 5.

- Presence of tumor perinerve sheaths.

- absence of vascular embolus.

- presence of extra-prostatic extension (seminal vesicle and right posterolateral peri-prostatic tissue over 12mm).

- Presence of invasion of the right and left seminal vesicles on the large slices with limits in the tumor area.

- Absence of invasion of the bladder neck.

- Healthy apex

- inked resection limits in the tumor area posterior to the prostate and adjacent to the seminal vesicles.

- Absence of lymph node metastasis (0/10)

TNM Classification: pT3b N0 R1

Postoperative PSA 0.01

11/02/2020 0,01

29/04/2020 0,04

20/07/2020 0,06

19/09/2020 0,11

04/01/2021 0,24

29/01/2021 0,44

PET scan : There was no detectable macroscopic tumor remnant in the radical prostatectomy compartment, but a 5 mm lymph node was invaded just anterior to the right hypogastric pedicle, with no visceral or lymph node involvement. Discrete but very suspicious activity of a 5 mm osteocondensation of the anterior segment of the right ischium, accompanying a condensation (3 mm) without PET translation currently, but to be monitored, on the left iliopubic branch, in favor of oligo-metastatic bone involvement.

Treatment decided: Enantone injection

27/05/2021 0,12

04/09/2021 0,05

PET Scan: Metabolic extinction of right internal iliac lymphadenopathy with virtual disappearance of condensation of the right ischium. Overall stability of the left iliopubic condensation, which remains generally non-active and not very suspicious Stability of the rest of the examination with no appearance of new lesions.

Treatment decided: Enantone + Erleada Injection

09/03/2022 <0.01

08/28/2022 <0.01

12/12/2022 <0.01

12/25/2022 <0.01

02/14/2023 <0.01

06/14/2023 <0.03

08/25/2023 <0.03

20/10/2023 <0.03

12/21/2023 <0.03

01/19/2024 <0.03

02/09/2024 <0.01

Current treatment: Enantone + Erleada Injection

[Graham49]

Has radiotherapy been considered? There might be a chance of cure.

[Tall_Allen]

Unfortunately, the spot on the right ischium vanished with hormone therapy indicating it was a metastasis. While it can't be cured, radiation to the pelvic lympmh nodes and SBRT to the spot on the right ischium may slow progression.

[graal05]

My oncologist needs to talk to the radiologist about doing

an intervention. I wonder if this makes sense for the moment.

[j-o-h-n]

Greeting/Bonjour graal, You've come to right place for help/information and comradarie....

Here you learn how to fight those "des petits salauds"..........Keep posting...

Good Luck, Good Health and Good Humor.

j-o-h-n