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Kindly suggest the most appropriate next steps and questions for MO!
hi all! My dad was diagnosed in Feb2024 with metastatic prostate cancer, Gleason 8 and PSA 24. He is majorly asymptomatic. His PSA dropped to 0.16 and now has risen to 1.6 over a period of 2.5 months. He has been on hormone therapy and taking abireterone and prednisone daily. He got orchidectomy done
hi all! My dad was diagnosed in Feb2024 with metastatic prostate cancer, Gleason 8 and PSA 24. He is majorly asymptomatic. His PSA dropped to 0.16 and now has risen to 1.6 over a period of 2.5 months. He has been on hormone therapy and taking abireterone and prednisone daily. He got orchidectomy done
Justgettingitright
in
Advanced Prostate Cancer
23 days ago
is this what CR looks like?
Starting Nov 20 last year, I began a relugolix on-cycle. Here’s the PSA readings from that point: Nov 20 : 3.10 Jan 8: 0.31 Feb 27: 0.13 Apr 15: 0.08 So up to this point, the PSA is dropping nicely, as it always has with on-cycles; and as I would expect, since I’ve been a strong responder
Starting Nov 20 last year, I began a relugolix on-cycle. Here’s the PSA readings from that point: Nov 20 : 3.10 Jan 8: 0.31 Feb 27: 0.13 Apr 15: 0.08 So up to this point, the PSA is dropping nicely, as it always has with on-cycles; and as I would expect, since I’ve been a strong responder
lokibear0803
in
Advanced Prostate Cancer
4 months ago
CT Scan looks good but PSA going up ?
MO told me CT Scan and Bone scan looks good but my PSA increase 2.18 > 3.38 >4.60 Anyone know the reason when PSA increase but scan looks good ? I have PET CT PSMA Scan next week
MO told me CT Scan and Bone scan looks good but my PSA increase 2.18 > 3.38 >4.60 Anyone know the reason when PSA increase but scan looks good ? I have PET CT PSMA Scan next week
God_Loves_Me
in
Advanced Prostate Cancer
26 days ago
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Radiation
My husband has been on Zytiga/Eligarde since January 2022 after a diagnosis of Stage 4 Metastatic Prostate Cancer. He was 79 at the time of diagnosis, and there was a met in his sternum and activity detected by a psma scan in lungs, liver etc. He has be doing quite well despite some dizziness and fatigue
My husband has been on Zytiga/Eligarde since January 2022 after a diagnosis of Stage 4 Metastatic Prostate Cancer. He was 79 at the time of diagnosis, and there was a met in his sternum and activity detected by a psma scan in lungs, liver etc. He has be doing quite well despite some dizziness and fatigue
Barnacle124
in
Advanced Prostate Cancer
28 days ago
Olaparib May Be Effective Without Hormone Therapy in Some Men With Biochemically Recurrent Prostate Cancer
quite a large sub group of men with recurrent prostate cancer were able to put off psa rises and put off mets developing and reduce psa with no hornone treatment just Olaparib - LYNPARZA in short, the responders, who can be tested by gene typing, had median time of almost 4 years without adt vs the
quite a large sub group of men with recurrent prostate cancer were able to put off psa rises and put off mets developing and reduce psa with no hornone treatment just Olaparib - LYNPARZA in short, the responders, who can be tested by gene typing, had median time of almost 4 years without adt vs the
street-air
in
Advanced Prostate Cancer
1 month ago
Elevated Testosterone
I was on Abiraterone and prednisone for 6 months until June 6, 2024. My blood work: 4/25/2024 Testosterone 44 ng/dL, PSA undetectable 5/28 T 35, PSA undetectable 6/6 Stopped Abiraterone 7/8 T 968 PSA 0.21 8/19 T 1475 PSA 0.54 My MO want's to do a PSMA scan in a month. I don't see
I was on Abiraterone and prednisone for 6 months until June 6, 2024. My blood work: 4/25/2024 Testosterone 44 ng/dL, PSA undetectable 5/28 T 35, PSA undetectable 6/6 Stopped Abiraterone 7/8 T 968 PSA 0.21 8/19 T 1475 PSA 0.54 My MO want's to do a PSMA scan in a month. I don't see
rainlessman
in
Advanced Prostate Cancer
1 month ago
Good news after SBRT
My last PSMA pet showed an 8mm prostate tumor in my left lung. My PSA before the radiation was 1.06. 2 weeks after radiation the PSA is <.06. I'm seeing my MO tomorrow to see if he will continue to hold off on ADT. Any suggestion/recommendations? Thanks
My last PSMA pet showed an 8mm prostate tumor in my left lung. My PSA before the radiation was 1.06. 2 weeks after radiation the PSA is <.06. I'm seeing my MO tomorrow to see if he will continue to hold off on ADT. Any suggestion/recommendations? Thanks
old64horn
in
Advanced Prostate Cancer
1 month ago
Vorinostat trial
I have been invited to participate in a clinical trial (phase 2) at the Univ of WA, Fred Hutch cancer center: Vorinostat to Augment Response to 177 Lutetium-PSMA-617 in the treatment of patients with PSMA- low metastatic castration resistant prostate cancer: VALOR TRIAL. Have any forum people been in
I have been invited to participate in a clinical trial (phase 2) at the Univ of WA, Fred Hutch cancer center: Vorinostat to Augment Response to 177 Lutetium-PSMA-617 in the treatment of patients with PSMA- low metastatic castration resistant prostate cancer: VALOR TRIAL. Have any forum people been in
dulcimerdude
in
Advanced Prostate Cancer
1 month ago
ADT vacation for 10 months
I have been on ADT vacation for 10 months now.(stage 4 with starting PSA 2250 in 2019). 2019 started on ADT and PSA has been undetectable 4 months after I started and is still. Testosterone less than 40(undetectable) and still is. My new MO wants to restart ADT (Depo Lupron and Zytiga) if my testosterone
I have been on ADT vacation for 10 months now.(stage 4 with starting PSA 2250 in 2019). 2019 started on ADT and PSA has been undetectable 4 months after I started and is still. Testosterone less than 40(undetectable) and still is. My new MO wants to restart ADT (Depo Lupron and Zytiga) if my testosterone
Golfnerd
in
Advanced Prostate Cancer
1 month ago
Curious what you think?
Background: I have to take my wife for all her appointments - doctors, hair, etc. Her MO who treats her blood cancer seemed like a good doctor but I know nothing about blood cancer. So I went to her with my records for a consult with the idea it would be easier and less hassle if we could get appointments
Background: I have to take my wife for all her appointments - doctors, hair, etc. Her MO who treats her blood cancer seemed like a good doctor but I know nothing about blood cancer. So I went to her with my records for a consult with the idea it would be easier and less hassle if we could get appointments
Mgtd
in
Advanced Prostate Cancer
1 month ago
PSA rising
Two months ago, husband’s PSA was .23, last month .20, yesterday .27. MO wants to watch and see what it is next month. Husband diagnosed 9/23, finished 6 rounds chemo on 2/21, is on Zytiga and Orgovyx currently. Concerned about the rise in PSA, would like input. Thank you.
Two months ago, husband’s PSA was .23, last month .20, yesterday .27. MO wants to watch and see what it is next month. Husband diagnosed 9/23, finished 6 rounds chemo on 2/21, is on Zytiga and Orgovyx currently. Concerned about the rise in PSA, would like input. Thank you.
Lindajda
in
Advanced Prostate Cancer
1 month ago
Rise in PSA and extra Eligard Injection
My psa has risen from <0.01 in Feb to 0.04 in April to 0.27 in July then 0.41 this week. I had a CT and full body scan on Tuesday, which according to my MO, who I saw today, showed no ‘hotspots’. Because my PCa metastasised to 4 places in 2016 when first diagnosed, I had radiation to the prostate followed
My psa has risen from <0.01 in Feb to 0.04 in April to 0.27 in July then 0.41 this week. I had a CT and full body scan on Tuesday, which according to my MO, who I saw today, showed no ‘hotspots’. Because my PCa metastasised to 4 places in 2016 when first diagnosed, I had radiation to the prostate followed
Brightman
in
Advanced Prostate Cancer
1 month ago
What's next?
Surgery, pelvic and prostate bed radiation. 2 years zytiga/lupron. PSA <0.04 for 2 years. Radiation oncologist agrees with 2 MO no scans till PSA rises. 2 MO say no more treatment unless PSA rises.What is best next treatment if needed? Nervous not being proactive.Both MOs agreed only 2 years lupron.
Surgery, pelvic and prostate bed radiation. 2 years zytiga/lupron. PSA <0.04 for 2 years. Radiation oncologist agrees with 2 MO no scans till PSA rises. 2 MO say no more treatment unless PSA rises.What is best next treatment if needed? Nervous not being proactive.Both MOs agreed only 2 years lupron.
rfgh20
in
Advanced Prostate Cancer
1 month ago
PSA and Testosterone update
My PSA increased after 6 weeks to 0.04 but my T dropped to 8.87 not sure how to think of this. I had no expectation, so it is what it is. Plan is my MO will give me a PSMA scan if a I get to 2.0 PSA. These numbers are so small that I know that they are meaningless at this point but I would still
My PSA increased after 6 weeks to 0.04 but my T dropped to 8.87 not sure how to think of this. I had no expectation, so it is what it is. Plan is my MO will give me a PSMA scan if a I get to 2.0 PSA. These numbers are so small that I know that they are meaningless at this point but I would still
Scout4answers
in
Advanced Prostate Cancer
1 month ago
Keytruda for prostrate cancer.
Had my prostrate removed, psa went up, had radiation, psa went up, went on eleguard, psa kept going up, tried erleada, did nothing, psa kept going up, now at 25, also found a tumor on bladder outside wall. Oncologist wid a blood test and it showed that keytruda might work. After 1 infusion, psa went
Had my prostrate removed, psa went up, had radiation, psa went up, went on eleguard, psa kept going up, tried erleada, did nothing, psa kept going up, now at 25, also found a tumor on bladder outside wall. Oncologist wid a blood test and it showed that keytruda might work. After 1 infusion, psa went
Lightfoot550
in
Advanced Prostate Cancer
1 month ago
looking for encouraging Pluvicto results
Hello fellow warriors, I know there have been posts of Pluvicto both helping and failing. I am now awaiting a PSMA PET scan to discuss possibly doing Pluvicto. I was diagnosed in 2018 at 46 years old with mets to about 5 spots in the bones. I have been on ADT since the beginning. I was on Zytiga then
Hello fellow warriors, I know there have been posts of Pluvicto both helping and failing. I am now awaiting a PSMA PET scan to discuss possibly doing Pluvicto. I was diagnosed in 2018 at 46 years old with mets to about 5 spots in the bones. I have been on ADT since the beginning. I was on Zytiga then
Oct18
in
Advanced Prostate Cancer
1 month ago
1/2 way through Xofigo with Apaludamide increasingly ineffective. PSA is declining. MO tells me Xofigo not the cause.
Hello all. 18 months since diagnosed stage 4 metastatic PC. Mets almost everywhere. PSA was 512 at diagnosis. Apaludamide/Trelstar combo lowered PSA to 0.60. Began to climb again April this year and Xofigo was suggested. I've now completed 3 of 6 treatments. Told Xofigo isn't to reduce PSA by my MO
Hello all. 18 months since diagnosed stage 4 metastatic PC. Mets almost everywhere. PSA was 512 at diagnosis. Apaludamide/Trelstar combo lowered PSA to 0.60. Began to climb again April this year and Xofigo was suggested. I've now completed 3 of 6 treatments. Told Xofigo isn't to reduce PSA by my MO
VisorF9
in
Advanced Prostate Cancer
1 month ago
3rd & 4th pBAT cycle results with daro question
Started 3rd pBAT cycle on 6-4-24 with a PSA of 0.58 measured 1 day earlier, 32 days after last of 6 T injections. Started 4th cycle on 7-26-24 with a PSA of 0.59 measured 2 days earlier, 34 days after last of 9 T injections. Tomorrow I will start my first loT phase with darolutamide (see below question
Started 3rd pBAT cycle on 6-4-24 with a PSA of 0.58 measured 1 day earlier, 32 days after last of 6 T injections. Started 4th cycle on 7-26-24 with a PSA of 0.59 measured 2 days earlier, 34 days after last of 9 T injections. Tomorrow I will start my first loT phase with darolutamide (see below question
Ichthus316
in
Fight Prostate Cancer
1 month ago
My first PSA after HT reporting confusion
I’ve just finish 19 months of Zoladex and RT to prostate only (localised G9 / PSMA/CT clear no evidence of SV involvement with PSA 6) My usual lab have been reporting my PSA as <0.01 ug/L since RT 18 months ago. My first 3 month testosterone is 0.8 nmol/L (23 ng/dL) and my PSA <0.03 ! Why is it
I’ve just finish 19 months of Zoladex and RT to prostate only (localised G9 / PSMA/CT clear no evidence of SV involvement with PSA 6) My usual lab have been reporting my PSA as <0.01 ug/L since RT 18 months ago. My first 3 month testosterone is 0.8 nmol/L (23 ng/dL) and my PSA <0.03 ! Why is it
SimMartin
in
Advanced Prostate Cancer
1 month ago
At what PSA will a PSMA PET scan be useful?
Hi everyone My father has been on Lupron for 3 years now. We stopped Abi last year due to rising blood sugar levels. His PSA used to hover between 0.6-0.8 (with an occasional spike to 1.2). PSA in May 24 was 0.6. Today, however, his PSA came back as 2.5. Plan is to restart Abi and monitor. But I wanted
Hi everyone My father has been on Lupron for 3 years now. We stopped Abi last year due to rising blood sugar levels. His PSA used to hover between 0.6-0.8 (with an occasional spike to 1.2). PSA in May 24 was 0.6. Today, however, his PSA came back as 2.5. Plan is to restart Abi and monitor. But I wanted
Rodeoz15
in
Advanced Prostate Cancer
2 months ago
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