Connect
← Return to How long does your oncologist have you on ADT?
Discussion
How long does your oncologist have you on ADT?
Prostate Cancer | Last Active: Sep 28 12:11pm | Replies (69)Comment receiving replies
I also had surgery 15 years ago and 3 1/2 years later I had salvage radiation when it came back. 2 1/2 Years later, it came back again and I went on lupron. My Gleason score was 3+4 after surgery. It came back a couple more times and now I am on Darolutamide and Orgovyx.
A lot of it depends on what your original Gleason score was.
The NCCN sets the guidelines for treatment. The general guideline is
Gleason 7 6 months
Gleason 8 18 months
Gleason 9-10 24 months
This is a guideline, not the actual rule Doctors might follow. Depending on what’s in the biopsy and the results of the surgery, if it found anything new since the biopsy, that could be a factor.
Sounds like the doctor picked the shortest time, so your case must be favorable.
Replies to "I also had surgery 15 years ago and 3 1/2 years later I had salvage radiation..."
I never bothered to check my post surgery biopsy for the gleason score, but it had gone from Gleason 3+4 to Gleason 4 +3. But still 7 so I guess that's why he put me on a 6 month regimen. That six months is about now. I had a PSA test yesterday and it was undetectable. I follow up with my onclogist Wed. and I'm hoping he's take me off the Orgovyx. My PSA was undetectable right after radiation so if had NOT been yesterday, that woould have been really bad news since my testosterone was wiped out by the Orgovyx. ( that was confirmed yesterday as well)
Connect
"Gleason 7 6 months
Gleason 8 18 months
Gleason 9-10 24 months"
And Metastatic, typically on ADT forever (though some oncologists are starting to experiment with "holidays").