Found spot on liver

[Startanew]

Been on the site since 2019. Have advanced prostate cancer and I just had a pet scan and they found a spot on my liver. Any words of wisdom?

[pjd55d]

if you trust you med care team- go with their - hopefully - informed and expert advice.

[Tall_Allen]

Docetaxel is usually very effective.

[Startanew in reply to Tall_Allen]

Thanks. I haven't had chemo yet. I've had radiation and hormone therapy that's worked but now it's coming back

[NanoMRI]

Words based on my current experience. Wisdom?

After multiple clear annualish PSMA PETs, this past July's identified a 2cm 'spot on my liver'. Maybe just a benign cyst, maybe worse. Went to a gastroenterologist and had a MRCP MRI with pancreatic protocol (a mouthful of imaging). Findings not definitive but warranted biopsy.

Also had findings of concurrent liquid blood biopsy - TP53 mutation. Essentially confirmed presence of cancer but unknown origin. Note - previous year result was NED - so a big change. With this new finding hope this liver spot was benign diminished.

Came to understand PC metastasis in liver is not so common. Imaging guided needle biopsy identified as metastatic melanoma tumor. I had melanoma skin surgery six years ago; the pathology opinions of that surgery was all the cancer was removed. (Opps).

Have completed three of four doublet immunotherapy treatments. MRI just prior to third shows over 50% reduction in tumor. Hope this helps!

[Startanew in reply to NanoMRI]

Thanks. I appreciate everybody's input and I go to the doctor Tuesday and we'll see what happens from there. God bless y'all!

[j-o-h-n in reply to NanoMRI]

FYI I had melanoma which metastasized in my lungs and was treated with Keytruda immunotherapy at MSKcc and it worked. Looks like you're on the right track regarding your Liver issue. Regards and enjoy Christmas.

Good Luck, Good Health and Good Humor.

j-o-h-n

[NecessarilySo]

So the spot on your is metastasized skin cancer, melanoma, not PC. That means the hormone therapy to keep PC in check is not going to stop or slow down the growth. I'm not a doctor and don't know much about melanoma treatment, but I suppose radiation might kill the spot, Or surgical removal? Or, as I say in my bio, heat over 106F kills ALL cancer cells. Then there's chemo. Act sooner rather than later. Cancer cells don't have sympathy, they just grow, grow, grow, and they don't know how to die so you have to kill them or take them out.

[NecessarilySo]

Nothing.

Well, it depends on the time period. I would think that for a few minutes, nothing. It is normally at 98,6 F, Although saunas can raise body temperature, the body tends to resist and it may be harmful if not well hydrated or too lengthy. I would try to keep the heat source small and confined to the lesion, and for short time intervals, under ten minutes, for example, with a heating pad or similar.

saunajournal.com/does-a-sau...