← Return to Stage 4: What are my options?
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Prostate Cancer | Last Active: 6 days ago | Replies (6)
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Replies to "Thanks for the feedback guys. I had multiple carcinomas 4+4=8, 2 x 3+3=6, and 4+3=7. 20%..."
Just so you know, The Gleason score is based on your highest Gleason number and you are a Gleason eight, The other numbers do not matter. You could request that your slides be reviewed for a second opinion, Sometimes they come out with a lower score.
Your cancer did come back quickly after the surgery, That seems to show that your Gleason score of eight, Being very aggressive, was correct.
At this point, they would put you on Lupron and another drug normally, Zytiga If you don’t have serious heart issues. They also might put you on a lutamide.
Have they talked to you about chemo yet? Sometimes they like to combine Lupron with chemo in your situation, To try and knock out the cancer.
Your best bet is to get on Lupron and see if it knocks your PSA down to undetectable, you could also request an estradiol patch. Talk to your doctor about that. Estradiol would be a lot Easier on your body and works just the same on the testosterone.