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Treatment for Prostate Cancer Metastasized to Bones

Prostate Cancer | Last Active: Sep 24 7:12pm | Replies (171)

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i forget my gleason score. was a bit of blur in beginning.
i have stage 4 that has metastasized into my bones both hip and legs shoulder and back near spine. my psa was 198 when i started nubequa and hormone therapy. its now 1.01 so that is working. six months of chemo. was told that it killed a "descent amount of the cancer" and there were no signs of growth and advancement. i have appointment moday so i will be asking alot more' and to see my new scans to old scans. i live in the white mountains and i am doing my best to make sure all is getting done. the more research i do the more unsure i am of what path to take. just trying to here from people with like issues to help to ask the rigt questions to formulate a good plan with my doctor.

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Replies to "i forget my gleason score. was a bit of blur in beginning. i have stage 4..."

So at this point, your PSA is undetectable I would suppose? If so, you are like many of us here who are on drugs that keep our cancer away.

I’ve been on Nubeqa 22 months and ADT (Orgovyx now) for 8 years.. `After 15 years and four reoccurrences it’s kept my PSA undetectable for 19 months.

After the prostatectomy, they would’ve sent you a results of the final biopsy that had all of your specific cancer information, including your Gleason score. There are probably multiple Gleeson scores One for each core that has cancer. The highest number is the only one that counts, to the medical community.

At this point, they might recommend radiation, but it’s possible they won’t do that until your PSA starts to rise. The rule is after a prostatectomy if the PSA rises to .2 or higher, they should do salvage radiation. If it’s not done at .2 then the cancer becomes more risky. Some doctor say, however, that your chance of hitting the cancer is only 33% with salvage radiation. I know it worked for me and a lot of other people.