Connect
← Return to Hormone Sensitive, Advance Prostate Cancer - Agressive Treatments
Discussion
Hormone Sensitive, Advance Prostate Cancer - Agressive Treatments
Prostate Cancer | Last Active: Sep 3 2:19pm | Replies (6)Comment receiving replies
I took the trek north from Kansas City to consult with Dr. Kwon after surgery, BCR, SRT.
At the time, folks here were still inclined to monotherapy, ADT, for a lifetime, destined to fail, death. The PSMA PETs were still in trials, Mayo had the C11 Choline.
Dr. Kown's approach at the time was to use imagining, then do muli-faceted treatments, ADT, Radiation, Chemotherapy. He would also consider adding an ARI if PSA was not responding.
My triplet therapy went well, when I completed it in 2018, I had a 4+ year break before going back on treatment. I'm at 15 months off now after completing SBRT and 12 months ADT in April 2024.
Today I have a medical team here in Kansas City that are open to more aggressive approaches, doublet, triplet, active listeners and support shared decision making. So, no need for me to make the trek north.
I like Dr. Kwon's approaches, there are some in his field who are not fans but given the heterogeneity of PCa, unlikely one will find consensus!
Aggressive PCa generally requires aggressive approaches
Kevin
Kevin
Replies to "I took the trek north from Kansas City to consult with Dr. Kwon after surgery, BCR,..."
Connect
Yes, I'm lucky that the "memo" about the massive shift in treating advanced prostate cancer had made it to big Ontario Cancer Centres by the time I was diagnosed in 2021. My oncologists knew all about TITAN, STAMPEDE, etc., and put me immediately on ADT + Apalutamide while scheduling SBRT radiation for both my spinal metastasis and the prostate itself. I don't know if I would have had the same luck 3 years early; they might just have said something like "You're at stage 4, so all we can do is slow down progression and keep you comfortable for your last couple of years." 🙁