Having the cancer come back after 17 years is not unique. At the advanced prostate cancer Ancan.com Weekly online meetings, we frequently see people who have gone many years without any issues after surgery, and the cancer comes back. Recently had somebody who Had it come back after 30 years.

Why is there no test for ADT receptivity, It really isn’t needed since within a month of taking it. The PSA drops dramatically within two months. It usually drops to undetectable. That also stops the growth of any metastasis that have shown up, And frequently shrinks the size of them. Another thing that is done when it comes back is to include a second drug like Zytiga or one of the lutamides.

Lung metastasis seem to be the hardest to treat. I know a few people with them that have tried many different treatments, but they are still there, though in some cases, they reduced in size.

You might Talk to your doctor about having Pluvicto. It can greatly reduced the size of metastasis all over the body, Though it only works really good with 1/3 of the people and OK with 1/3. They have approved doing it before chemo.