Recurrence after 2 years

[northshoreguy]

Long story short,was undetectable for approx 2 years until I hit .oo6 in April of 2024. Fast forward to August it shot up to. 88, about a 15 fold increase in 3 months. Had the psma pet scan dont at Dana farber yesterday and the results are below .Uptake into left lateral l4, intense Uptake into iliac chain lymph nodes of 10x8mm, intake into the right superior pubic ramus measuring 1.9 x 1.7mm and a low level intake in the right femoral neck.

I have an appointment with my mo's PA on Monday. I'd be curious to hear what course of action I might be looking at from people who have experienced a similar path. Of course any input from TA would be appreciated.

Ps I would have posted the actual test results but I couldn't figure out how to copy/paste that report.

TIA

[Tall_Allen]

Time for docetaxel. Can you tolerate Xtandi? If so, consider both as in the PRESIDE trial:

thelancet.com/journals/lano...

Afterward, you qualify for Pluvicto.

[northshoreguy in reply to Tall_Allen]

I've never had either. Zytteiga,lupron,Eligard and cyberknife. Couldn't tolerate zyteiga.

You Don't think radiation will be in the mix?

[Tall_Allen in reply to northshoreguy]

Only if your bone metastases are painful. Pluvicto is radiation.

[northshoreguy in reply to Tall_Allen]

Thanks TA, I really respect your opinion.

[RoseDoc]

Triple therapy is your next step. This is beyond what a PA can advise. Insist upon seeing the MO for an intelligent conversation re: your treatment plan.