What?!? "Curing" oligometastatic prostate cancer???

Posted by northoftheborder @northoftheborder, Mar 21 5:04pm

I'm reading Dr Walsh's book cover to cover now, after skipping around to just the bits relevant to me the first time through. I noticed this throw-away comment in the section on PSMA-PET:

"Maybe it's just in one lymph node, or it's in a transitional state called oligometastasis: not widespread, but in just a few isolated spots outside the prostate and still possible to cure."

WHAT?!?! I've never heard "cure" mentioned for oligometastatic PCa, and the book's main section in Chapter 15 doesn't use the word. My own onco team has never used the word for my case, either. Is this some new research thinking that accidentally slipped into the book, or an old idea that hasn't been expunged yet?

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@bens1

Since oligometastatic suggests a very limited spread that is open to targeting, it doesn’t surprise me that the word cure is used. When I asked my radiation oncologist, what cure meant in medical terms for her she responded with, cured for today.
Until I heard that answer from her, as a layman, I thought I would not have to worry about it again.

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My post liver disease is considered SVR, sustained virologic response. They don't use cured.

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My JH told me there was a 50% chance I was cured and a 50% chance my disease would recur but in a more indolent, less aggressive form which would be manageable long term. I was initially diagnosed with G9 and have had one bone met and one pelvic met. Had triple therapy and MDT as well as whole pelvic radiation. Off meds for almost 2 years with undetectable PSA. Was put on TRT more than 4 months ago and PSA continues to be undetectable. The testosterone has been like the breath of life for me.

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