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Prostate Cancer | Last Active: 1 day ago | Replies (17)
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@stage4lovolmetpc Yes, I hadn't counted in your post, but 17 metastases is definitely polymetastatic, not oligometastatic. It's not so much beyond anything as just a different optimal treatment path.
There has been a lot of excitement around "triplet therapy" for people in your situation: ADT + an ARSI like Abiraterone or a -lutamide + chemotherapy all at once, instead of in sequence, to send the cancer reeling right near the start.
Dr Eugene Kwon at Mayo has been one of the biggest advocates for triplet therapy (vs the old approach of gradually escalating treatment). I think you can find videos on YouTube of him discussing it, and it sounds like it might be what your oncologist has in mind as well.
Best of luck!
p.s. I grew up not far from Oswego, on the Ontario side of the lake.