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PSMA PET Scans...some interesting info
Prostate Cancer | Last Active: Oct 28 4:54am | Replies (67)Comment receiving replies
@northoftheborder Thanks for this knowledge . I never knew this ! excellent to know that IF you get put one One ADT drug , there are other combinations that can extend the useful period of the ADT itself . Do I have that right ? If ADT fails what is the next thing one could do ? I have a friend from my PC support group that he says his ADT failed and he has only been taking it for a year . He said "it started to fail" . I offered to take him out for coffee or a Pint , but he was too emotional to go at the time. we plan to meet next week. Can I mention soem things to help him as he makes notes for his Dr's visits about this ADT failing ? I sure would like to give him some things to be hopeful for .... Thanks for the help . James on Vancouver Island .
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@vancouverislandhiker If/when you become castrate resistant and your PSA becomes detectable, the next steps would likely be repeat testing and active monitoring. Once the PSA reaches a certain threshold, I expect they do imaging to see if there's anything visible (there might not be). If/when there's something visible, they could perform external beam radiation if it's only a few metastases, or something like Pluvicto or chemotherapy if there are many. Then rinse and repeat.
You stay on ADT and ARSI to control the cancer that's still castrate-sensitive, while focussing on putting out any flare-ups that have developed castrate-resistance.
There's also the option of trying a different ARSI, just in case. And new treatments are on the horizon.
Standard disclaimer: layperson writing here.