← Return to Gleason 7 (4+3) radiation, but ADT also? Over treatment?

Discussion

Gleason 7 (4+3) radiation, but ADT also? Over treatment?

Prostate Cancer | Last Active: 16 hours ago | Replies (63)
Comment receiving replies
@pattyp46

Recently received IMRT 28 sessions and started Orgovyx one month before start of radiation therapy. I was Gleason 8(4+4) with PSA at 17, after many years at 3.5-5.5! PET scan showed no signs of spread outside of the prostate(yay!).
1 month from IMRT finish, PSA was < .5 and testosterone was 3.
I’m optimistic that on next urology visit, my PSA will remain low or get even to undetectable as my urologist said IMRT doesn’t kill all cancer cells immediately and continues “killing” for 1-2 months post treatment.
At that juncture should PSA get even lower, I am considering stopping Orgovyx at 6-8 months total.
Thoughts from the group????
Pat

Jump to this post

Replies to "Recently received IMRT 28 sessions and started Orgovyx one month before start of radiation therapy. I..."
jeffmarc | @jeffmarc | 5 days ago

For Gleason eight they recommend 18 months of ADT. You can stop sooner, ask your doctor what they think, but most people don’t do this unless they are undetectable for At least a few months.

If you do stop, get PSA test no less than every three months, At least for a while to make sure your cancer is not coming back.

VIEW AND REPLY