← Return to Chemo, Lupron & Nubeqa (Triple treatment) Outcomes

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@northoftheborder

I also have stage-4 prostate cancer, and I'm also on ADT + Apalutamide for life (or at least until they discover new alternatives). As I've written elsewhere, my PSA has been undetectable (< 0.01) for 3 1/2 years. If I were to stop hormone therapy, my castrate-sensitive cancer might come back as castrate-resistant, and that's not worth the risk to me. If it's working, why mess with it?

As @jeffmarc mentioned, it's common with oligometastatic cancer (just a few metastases) to use radiation directly on the metastases rather than administering chemo, but obviously that varies from case to case, and you did mention the "potential for other metastases" — do you mean ambiguous spots of concern on the PSMA PET scan, or just a worry that there's more happening than PSMA PET can detect yet?

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Replies to "I also have stage-4 prostate cancer, and I'm also on ADT + Apalutamide for life (or..."

I have a friend with just one metastasis (per PET) - to a lymph node. Does anyone know why they would not target that node with therapy or surgery? I read that there was a recent study showing good results from removing a single metastasis surgically (or maybe, don't remember, via radiation).

He is just on ADT.