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Can you use Lupron to postpone PSMA?
Prostate Cancer | Last Active: Aug 3 12:15pm | Replies (5)Comment receiving replies
You might stay off Lupron wait 7months. PSMA/PET is expensive and medcare will cover 80%.
If you decide on the PSMA it is better to be off antiandrogen treatment because it can reduce detection of cancer cells.
Your provider may suggest that you should have the PSMA now and decide by the results if you should resume Lupron. You might counter with the 7 month proposal.
The PSA rise seems insignificant to me, a lay person.
You had somatic genetic testing and the mutations didn't indicate whether you were more likely to metastasize?
I would want the PSMA in seven months, regardless of the PSA.
Another year of Lupron wouldn't be foolish with regard to the cancer. I suspect your urologist won't advise it with your PSA numbers.
Replies to "You might stay off Lupron wait 7months. PSMA/PET is expensive and medcare will cover 80%. If..."
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There was an area that the oncologist were uncertain about. Was it cancer or not. The plan was to take an antiandrogen for 3 months. If after 3 months of the antiandrogen the PSMA/PET saw nothing in that area, they would know that it was cancer. If that area remained lit up on the PSMA/PET they would know that it was not cancer.
As it happened the tumor shrank by about half, but the questionable area lit up on the PSMA. The oncology radiologist knew then that he would not treat the area.
Inversely for you, taking Lupron before the PSMA could hide the presence of cancer.
The PSMA/PET cash price is over 5,000$.