Is cryotherapy suitable for an oligometastatic CRPCa?

[tarzantass]

Hello!

Can I have my prostate treated with cryotherapy? I’m an oligometastactic CRPCa guy with one area (my right hip or pelvis) spotted. Your input is so much appreciated.

[Seasid]

What is your treatment now?

[tarzantass in reply to Seasid]

Currently I’m on ADT (Lupron) and ARPis after 8 cycles of Docetaxel.

[Seasid in reply to tarzantass]

Sounds good. I was diagnosed more than 6 years ago as de Novo polymetastatic prostate cancer with distant bone metastasis in mu neck. I had early docetaxel chemotherapy six cycles and degarelix ADT injections. I added bicalutamide 11 months ago one year after the SBRT radiation to my prostate.

What is your PSA now? My PSA is stable at around PSA 2.5.

[Seasid]

If your cancer is visible in your hip than why are you concerned about your prostate? Did you have mpMRI of your prostate? What is PIRADS score?

[Tall_Allen]

Do you mean you want to get your hip met treated with cryo? It's usually done with radiation, but it can be done with cryo if accessible.

[tarzantass in reply to Tall_Allen]

No, Allen. Is it suitable for me as an oligometastatic guy to have my prostate treated with cryo? Hip is the only spot I have. I will be having Radium 223 in mid-December. Thanks.

[Tall_Allen in reply to tarzantass]

Why would you want whole-gland cryo? The adverse effects are awful.

[tarzantass in reply to Tall_Allen]

I thought cryo could kill the cancer cells, Allen.

[Tall_Allen in reply to tarzantass]

Not very well and with lots of damage to healthy tissue.

[tarzantass in reply to Tall_Allen]

OK. I will not consider it. Thanks.

[Retireddoc in reply to tarzantass]

Why are you being treated with Radium 223 if you have oligo metastatic disease? Are you having your primary tumor (prostate) and single met treated with radiation?

[tarzantass]

Hello!

Yes, I wanted to have both my prostate and my right irradiated but I have changed my mind because radiotherapy cannot completely eliminate the disease. As for the prostate, there might be serious side effects. So, please advise me as to how I should approach to the type of therapy based on my condition. Thanks.