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Confusing Messaging about Prostate Cancer

Prostate Cancer | Last Active: Nov 3 8:02pm | Replies (76)

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@robertmizek

What a great post. My situation is similar to yours. I have a mutation where P53 function is lost. I met with my surgeon recently to discuss the “elephant in the room”. I asked his opinion on odds of being cured, overall survival, and likelihood of PCa returning after I stop Orgovyx and Zytiga in 19 months.

He was pleased as to my current condition after salvage RALP and IMRT. Forstbthe hood news: No co-morbidities, undetectable PSA, little weight gain, little loss of muscle mass and a positive attitude which he said might be the best thing I’ve got going. Then came the news I expected but didn’t want to hear. Cure is unlikely. He expects the PCa to return within 5 years. (My medical oncologist thinks I’ll go 7 to 9 years). If I’m lucky I’ll just die with the disease and not from it.

No one except fellow stage 4 cancer patients can grasp the seriousness of the situation. All others just believe that if you get PCa you get surgery and/or radiation and life continues as before and you’ll never have to think about it again.

If only life was that simple.

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Replies to "What a great post. My situation is similar to yours. I have a mutation where P53..."

I agree that there is no "back to normal" with stage 4 — but also, the goalposts keep moving out. As I've mentioned in previous posts, I was told initially in 2021 to expect progression in 2-ish years (castrate resistance, etc) and maybe 5 years' survival (7 at the outside). Those numbers kept increasing, and now they don't give me a number any more, just "lots of years".

If your or my PCa becomes active again in 5 years, that's just the start of a new process, not the end, and by then, there will likely be even more and more-effective treatments. In the meantime, the longer our cancer stays dormant, the better, in every sense.

We just got the same news yesterday. Have no clue where to start