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Prostate cancer

Prostate Cancer | Last Active: Sep 30 7:37pm | Replies (20)

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Here's my case so far. Diagnosed Gleason 9 - 5/6/25, also not a surgical candidate - referral to genito-urinary oncology; Since I am also a heart failure patient, referral to cardiac oncology scheduled. PSMA PET - 6/6/25 showed multiple local and distant metastasis of lymph and bone (vertebrae). ADT (Orgovyx) started 6/7/25. ARSI (Nubeqa) added 6/10/25 when Dr. got PET results along with referral to radiation oncology. Fiducial markers placed 9/2/25; Radiation to prostate (IGRT x 20) begins 9/30/25. DXA scan scheduled 11/12/25. GUO follow-up scheduled 12/10/25. That's it up to now.... Oh, and between Oncology and Cardiology, throw in half a dozen blood tests along the way to monitor things from pancreas and liver response to medications, to cardiac enzymes and everything in between.

Sorry you had to join our little club. Worry does nothing but make it hard to sleep. I find it better to just get really pissed at the cancer and determined to fight it. Will it kill me? Eventually, maybe, but not today. Best wishes and let us know your progress. My radiation treatment T-shirt...

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Replies to "Here's my case so far. Diagnosed Gleason 9 - 5/6/25, also not a surgical candidate -..."

It sure appears you’re getting the right treatment. This is about all you can hope for, They will be able to eliminate the active cancer and get you into a state of remission.

They put you on the right drugs. ADT is sort of mandatory but Nubeqa Is a great choice for somebody who has heart issues since it is the one drug that has the least side effects.

I have gotten all those blood test you referred to every month for the last eight years. They’re really important to know what’s going on in a long-term.

@mjp0512 thank you

@mjp0512 good luck today !!- its not a big deal.. done in 20 min- dont wiggle around once they get you in place !!

wear loose easy to slide down pants ( always a must for older guys ! )

@mjp0512 Great Message!!
Good luck today! I’m 9 out of 38 radiation treatments done!