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Stage 4, Hormone Therapy-Resistant: What happens after Chemotherapy?

Prostate Cancer | Last Active: Jan 1 1:57pm | Replies (27)
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@melcanada

Oncologist starting me on Zytiga or Abiraterone today

Any experience on statistics of it Improving Survival in Metastatic Prostate Cancer

I was on Xtandi then Radium 223 each for a year and did 2 chemo's with Doxetel which caused fluid in lungs now since gone after 6 weeks of Prednisone . Prostate radiated in 2017 Spread to spinal bones only in 2020. Now spots in T 10 and L4 to 5. Just had a slip and fall on sidewalk ice at bank last week and fractured my L1
Plan is to do a CT-PSMA scan in Feb and see if I qualify for LU 177 now approved as standard of care in Ontario
Advise appreciated How long do I have?? @northoftheborder @jeff1

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Replies to "Oncologist starting me on Zytiga or Abiraterone today Any experience on statistics of it Improving Survival..."
jeffmarc | @jeffmarc | Dec 31, 2024

No one can tell you how long you have. You may live long enough to have something else kill you. You don’t mention what drugs you are on. You don’t mention your biopsy results and other information like current PSA in this message. You may have done that in another set of messages, but there are so many people. It’s impossible to really keep up without the information being supplied In the current thread.

If you stopped taking Xtandi, And are now taking nothing, then you need to get on something right away to stop your cancer from spreading. Ask your doctor what he thinks. It sounds like you were not a good choice for taking a drug holiday. If you’re just on an ADT drug like Lupron You must be resistant and need Xtandi or Darolutamide (Nubeqa) which has fewer side effects

Can you have SBRT on those three new spots, or do you have so many that they do not want to do that?

Definitely get that PSMA PET scan before making any real decisions. If you can have SBRT on those new lesions, then you can put off Pluvicto.

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