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Stage 4 Metastatic - what to expect after 6 months?

Prostate Cancer | Last Active: 23 hours ago | Replies (66)

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Profile picture for Jeff Marchi @jeffmarc

@doyleoot
Is there some reason you have not had a PSMA Pet scan. It sounds like you’ve got some bone metastasis that could be zapped with SBRT radiation.

Doing that scan would allow you to have targeted therapy. The biomarker really is not going to help in that regard, You need the scan to see what’s going on.

Staying on the drugs, can be beneficial, If they can zap the metastasis, you have, then the drugs can usually prevent it from reoccurring.

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Replies to "@doyleoot Is there some reason you have not had a PSMA Pet scan. It sounds like..."

@jeffmarc : please see my original post:

I was diagnosed with Advanced Prostate Cancer in May 2025 my PSA was 340. Following 2+5 monthly Firmagon injections, that overlapped with 6 docetaxel infusions given every 3 weeks, my PSA was down to 2.07 on 07 Jan 2026. I was put on Relugolix and Darolutamide a month or so before the doxetaxel finished but on 24 Apr 2026, following a PSMA-Pet scan that lit up showing active tumors, my PSA had gone up to 7.6. The PSA was 44 on 09 Jun 2026. I have an appointment on Monday 22 Jun 2026 with one of the top oncologists in the country. I'm hopeful that there will be follow-on treatment.