Stage 4 PC Longevity: Anyone have prostate cancer more than 10 years?

Posted by ringmastr1 @ringmastr1, May 26, 2023

There is a lot of great info on this forum. I am 54 and was just diagnosed in January with metastatic Stage 4 PC. (Hip, L4, Sacrum, and a small liver lesion). My PSA has gone from 359 in January to .24 last week and I feel great! I am curious to know how many guys on this forum have been treated for more than 10 years and what your quality of life is like. It is stories like this that will give me (and others) more hope. Peace to you all!!!

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Yes my husband was diagnosed with stage 4 cancer in 2013. (11 years ago) He has been treated at the Seattle Cancer Care Alliance for 11 years. His last treatment program was Pluvicto. Unfortunately this last treatment only lasted 9 months and has now failed. He is on hospice care in home, currently. We have had many good years and now we are on this last journey. I encourage men to seek treatment early

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@jkwerner

Yes my husband was diagnosed with stage 4 cancer in 2013. (11 years ago) He has been treated at the Seattle Cancer Care Alliance for 11 years. His last treatment program was Pluvicto. Unfortunately this last treatment only lasted 9 months and has now failed. He is on hospice care in home, currently. We have had many good years and now we are on this last journey. I encourage men to seek treatment early

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Just curious, how old is your husband & do I understand correctly it was the Pluvicto that failed?

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@rxharleydude

Just curious, how old is your husband & do I understand correctly it was the Pluvicto that failed?

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My husband is 74 years old. He has gone through many treatments that eventually stopped working. He remained on Lupron injections every 3 months consistently. He was first on dexamethasone 2 and 1/2 years, zytiga for 3 years, These were the more stable years and lower PSA levels. He had testosterone injections for a year that brought his PSA down and then stopped working. Re-tried zytiga last year but it failed. Because of the Pluvicto not being approved in the US until 2021 he waited without any treatment for 9 months. Then to have Medicare approval to try Pluvicto he had to go on chemotherapy drugs. He lost extensive weight and became very weak. This may have been the reason that when he was approved for Pluvicto he was in a weakened state and never really seemed to benefit from this treatment. I think it is going to be a life saver for many men.

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@jkwerner

My husband is 74 years old. He has gone through many treatments that eventually stopped working. He remained on Lupron injections every 3 months consistently. He was first on dexamethasone 2 and 1/2 years, zytiga for 3 years, These were the more stable years and lower PSA levels. He had testosterone injections for a year that brought his PSA down and then stopped working. Re-tried zytiga last year but it failed. Because of the Pluvicto not being approved in the US until 2021 he waited without any treatment for 9 months. Then to have Medicare approval to try Pluvicto he had to go on chemotherapy drugs. He lost extensive weight and became very weak. This may have been the reason that when he was approved for Pluvicto he was in a weakened state and never really seemed to benefit from this treatment. I think it is going to be a life saver for many men.

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I am sorry to hear of this situation and appreciate immensely sharing the personal details amidst a time period of emotions that I can not imagine, but offer wholeheartedly my sincerest comfort for you and your husband.

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@jkwerner

My husband is 74 years old. He has gone through many treatments that eventually stopped working. He remained on Lupron injections every 3 months consistently. He was first on dexamethasone 2 and 1/2 years, zytiga for 3 years, These were the more stable years and lower PSA levels. He had testosterone injections for a year that brought his PSA down and then stopped working. Re-tried zytiga last year but it failed. Because of the Pluvicto not being approved in the US until 2021 he waited without any treatment for 9 months. Then to have Medicare approval to try Pluvicto he had to go on chemotherapy drugs. He lost extensive weight and became very weak. This may have been the reason that when he was approved for Pluvicto he was in a weakened state and never really seemed to benefit from this treatment. I think it is going to be a life saver for many men.

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If only in bones Radium 223 is approved I understand
https://www.healthline.com/health/prostate-cancer/radium-223-for-prostate-cancer#procedure
. Most health insurance plans cover a majority of the cost. Most government healthcare plans, such as Medicare, cover Xofigo for prostate cancer1

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@jkwerner

My husband is 74 years old. He has gone through many treatments that eventually stopped working. He remained on Lupron injections every 3 months consistently. He was first on dexamethasone 2 and 1/2 years, zytiga for 3 years, These were the more stable years and lower PSA levels. He had testosterone injections for a year that brought his PSA down and then stopped working. Re-tried zytiga last year but it failed. Because of the Pluvicto not being approved in the US until 2021 he waited without any treatment for 9 months. Then to have Medicare approval to try Pluvicto he had to go on chemotherapy drugs. He lost extensive weight and became very weak. This may have been the reason that when he was approved for Pluvicto he was in a weakened state and never really seemed to benefit from this treatment. I think it is going to be a life saver for many men.

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Very encouraging to hear. I have similar numbers and was diagnosed last August. My PSA numbers are now negligible. I'm having pain and weakness in my back arms and weakness iny hands. I don't know if this is side effects from Darolutamide.

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My husband had a prostatectomy in 1993, that’s thirty years ago, and he’s very much alive! After many years of treatment and a very active lifestyle, he is now endstage. At the age of 88, there have been many days that he regretted having the surgery, but for most of this time, life treated us well! Five grandchildren and three great granchildren that he never would have known has made all of the treatments worth it!

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@melcanada

Lutetium-177 PSMA therapy is based on the notion that Lu-177 can stick to the surface of the cell membranes that make PSMA. Lutathera and Pluvicto, two drugs with lutetium, were the first to get FDA approval. Radiologists can use it if the tumor has spread to other body parts and isn't responding to chemo or hormone therapy.
Radium-223 dichloride, Xofigo, is used to treat advanced prostate cancer metastasizing to the bones. Radium's structure is also similar to that of Calcium, which is the main element in bone tissue. This similarity makes it easier for Ra-223 to get into bone metastases and kill cancer cells. Since there are no cancerous cells in the internal organs, this radioligand is given.
Actinium-225 PSMA therapy is a novel radioligand-based approach to treating cancerous tumors. The medication molecule can bind to the protein in the same way that Lutetium can. It is used in place of Lutathera in cases where the latter medication is ineffective against prostate cancer.

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Can lu 177 or Radium 223 can cure Prostate cancer which has spreaded to the bones. And also are Lu 177 and Radium 223 same or different

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@amee

Can lu 177 or Radium 223 can cure Prostate cancer which has spreaded to the bones. And also are Lu 177 and Radium 223 same or different

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Nothing can cure mets to the bones, just control it Kill of many calls but it hands around
Radium 225 is similar but different LU has radium from Nuclear plant and formulated a few days before the injection That is why one must not miss appointment
I posted this in 2024 This too is valuable
https://airomedical.com/blogs/treatment-guides/what-is-better-actinium-radium-or-lutetium-for-prostate-cancer

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