Help with Scan Report

[jersy]

Hello, Friends. My latest scan shows lytic lesion at T11 and fracture at L2. How bad is this and is there treatment? I'm having trouble walking and bad pain in leg and back. Failed all the usual treatments at this point.

Thanks.

[Tall_Allen]

Have you had docetaxel yet?

[jersy in reply to Tall_Allen]

No, but considering. Failed Lu 177 after a few treatments, and failed Zytiga and Xtandi. Gleason 9, 7 years since diagnosed with advanced metastatic, mets everywhere. Age 82. Is the Docetaxel thought to extend life at my stage or ease pain, or both? Thank you, TA.

[Tall_Allen in reply to jersy]

Both. Your performance status and physiological age are what matters, not your chronological age.

[GP24]

You can radiate the met with SBRT. This allows to radiate very small areas with high doses.

[jersy in reply to GP24]

what about all the prior radiation? Will that limit me in getting that? I’ve had spot radiation before (lots of it) and Pluvicto. thx.

[swwags in reply to jersy]

It's never ideal of course but aside from chemo that Tall Allen inquired about, your options are limited.

[GP24 in reply to jersy]

You posted: " lytic lesion at T11". This can be radiated with SBRT. You have to consult an RO if this is possible in spite of previous radiation.

Now you mentioned: "mets everywhere". This is far more than the one lesion I was aware of.

[pakb in reply to jersy]

Depends on where you've had SBRT previously. Most don't like to radiate the same spot too many times. I agree with trying chemo.

[God_Loves_Me]

whats your current treatment?

[Rhinochaser]

If you have a fractured L2 and you're feeling pain in your leg, I would move quickly. You could end up with stenosis which would likely require surgery to separate the spine and cord so there is enough space for SBRT or Proton therapy. Get evaluated asap by a rad onc and orthopedic surgeon. Make sure you have a good systemic therapy going too. Docetaxel may be a great option.