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← Return to PSMA PET Scans...some interesting info
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PSMA PET Scans...some interesting info
Prostate Cancer | Last Active: Oct 28 4:54am | Replies (67)Comment receiving replies
@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.
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@northoftheborder Thanks North ! I really appreciate you using your valuable time to respond to me. I have never been on ADT , not want to be . I have had the operation about six years ago and 2 1/2 years ago with the external beam radiation. I got the radiation for 22 sessions and no ADT. The doctors said repeatedly I don't need the ADT although I showed them the paperwork on more efficacy if I use the ADT. The doctors that I spoke to were against it and that my PSA was only at 0.14 and rising very very slowly. I do have prostate cancer in the family, and my father passed away from a 25 years ago. So they wanted to go full "pedal to the metal "at a very early stage. My radiation oncologist said they doubt it will develop from here but if they do we have a ADT in the war chest. Currently my last three PSA tests have been hovering around 0.068, 0.060, and 0.055. With changes very slight and then the thousandth decimal point, Victoria Cancer clinic and my urologist don't seem to be worried about me. I guess that's a good thing? Off to walk the dogs in the mountains. It's kind of an odd thing, since being diagnosed with prostate cancer six years ago I have developed an anxiety situation. Walking the dogs is therapeutic for me. I was my fathers caregiver and was constantly around him when he had his prostate cancer. I covered his body with clean sheets when he passed away. I can still smell and here at the hospital. That was 25 years ago. It's a whole new landscape now with technology and drugs. I hope you find enjoyment today. James on Vancouver Island.