← Return to What is best next treatment after 20 years of active surveillance?

Discussion
Comment receiving replies
Profile picture for jeff Marchi @jeffmarc

In 2016 when our PSA hit .24 you should’ve had salvage radiation. That would’ve probably killed all the remaining cancer cells and left you without a problem today. In 2014 when my PSA hit .2, 3 1/2 years after a prostatectomy I was immediately given salvage radiation.

You could talk to a radiation oncologist and find out if it’s possible to zap the active metastasis you have.

You could just let it go, but dying of prostate cancer is extremely painful. My father died of it at 88 and the last few weeks he was unable to communicate with anybody because the amount of morphine he was on was too much to be able to talk. When I was younger, he had his teeth ground down and crowned without Novacaine!

Since your cancer has spread to multiple places, you could have chemo or Pluvicto. That’s something you have to discuss with an oncologist. Another option, which might work for you is to get on Nubeqa. It is able to keep your PSA down and keep your cancer from growing with testosterone present. They can also stop the existing cancer from growing and spreading. Another thing you could speak to your doctor about. You could do that instead of getting on ADT, which could be a problem because of the side effects especially at 87. Nubeqa Has very few side effects, I know a lot of people in their 80s using it alone. I’m 77 and it has kept me undetectable for the last 23 months, eight of which I didn’t use ADT. I’ve had PC for 15 years and started with a 4+3. I do have BRCA2, which is why it keeps coming back.

Well, there are A number of options to speak with doctors about

Jump to this post


Replies to "In 2016 when our PSA hit .24 you should’ve had salvage radiation. That would’ve probably killed..."

What is BRCA2