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Gregory, good question. Deciding which treatment is best is a very individual choice. Hormone therapy may also be called androgen suppression therapy. "Lowering androgen levels or stopping them from getting into prostate cancer cells often makes prostate cancers shrink or grow more slowly for a time. But hormone therapy alone does not cure prostate cancer.

Hormone therapy may be used:
– If the cancer has spread too far to be cured by surgery or radiation, or if you can’t have these treatments for some other reason
– If the cancer remains or comes back after treatment with surgery or radiation therapy
– Along with radiation therapy as the initial treatment, if you are at higher risk of the cancer coming back after treatment (based on a high Gleason score, high PSA level, and/or growth of the cancer outside the prostate)
– Before radiation to try to shrink the cancer to make treatment more effective"

Read more: https://www.cancer.org/cancer/prostate-cancer/treating/hormone-therapy.html

If I recall correctly, your first treatment was radiation and more recently you received the news that the cancer has returned. Often surgery alone is not possible with metastatic cancer because it is not localized to one specific tumor or area, like the prostate. What treatments are you getting?

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Replies to "Gregory, good question. Deciding which treatment is best is a very individual choice. Hormone therapy may..."

I just finished my PET scan and the good news is that there is only 1 spot of cancer, in my scapula. I also started hormone therapy. I trust my doctors and Mayo. I feel they are the best at what they do. And I appreciate the whole team. When I was referred to Mayo by my home doctor, I met with an orthopedic surgeon. I recall a comment he made about the possibility of replacing the scapula or cutting out the cancerous growth and filling the void with bone cement. So, that is where my question comes from. When reading the other posts, it just keeps coming to mind. Radiation treatments start next month. It has only been about 5 days, but already I am having discomfort. A good thing for me is that with each passing day, I am not as emotional as when I first got the news. Now I feel like I am ready to fight no matter what it takes.