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Stage 4 prostate cancer treatment options

Prostate Cancer | Last Active: May 4 8:39am | Replies (128)
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@donaldhill9258

Thank you for your positive submissions relating to stage 4 prostate cancer. They give hope in real experiences and help in navigating the dizzying array of other treatments, drugs, etc….
My journey is just beginning in Seattle. Recently diagnose with Gleason “8” and stage 4 with iliac lymph gland involvement. Bone scan next week. Starting bicalutimide this eve, bone scan in a week, and the 4 month interval (hormone?) injections a few days following bone scan. This has happened sooo quickly after a 351 psa. I am hoping this looks like a good course of treatment. 30 years ago I was referred to Mayo Clinic for evaluation of amyloidosis of skin. I was very impressed with quality of care then. So when I was browsing the Mayo website and found this support group, I jumped right in👍. Head swimming with uncertainty, and sometimes worse. Thank you all!

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Replies to "Thank you for your positive submissions relating to stage 4 prostate cancer. They give hope in..."
melcanada | @melcanada | Nov 19, 2022

Before 40 days of radiation my PSA was 1300

after ,02 on zolodex

4 years later intense rad of L2 took 1 inch out of spine PSA 1,2

Hope springs eternal

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spryguy | @spryguy | Nov 20, 2022

I have a very similar diagnosis. In Feb 2022 I was diagnosed w G 4+3=7.
I was left in a muddle w no direction regarding R.P. surgery or radiation. I chose radiation only because I dislike anesthesia. I had no resources to guide me. I had to force the oncologist to do CT , MRI scans and PSA. He refused to do a bone scan. PSA came back at 83.4. CT showed Iliac chain Lymph Node Involvement. I received treatment with 39 sessions of IMRT and 6 mo. Lupron.
I opted to go to Mayo Phoenix ( 2 hrs drive) and saw the NEW oncologist in July 2022. I am now on a second round of Lupron and ABIRATERONE and PSA is 0.1 ng/ml and dropping like a rock. PSMA/PET/CT showed no further metastasis. My outlook is POSITIVE.
Everyone : GET A PSMA PET CT to identify further METS.

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