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Metastatic Prostate Cancer: Where do I go from here?
Prostate Cancer | Last Active: Jan 31, 2023 | Replies (67)Comment receiving replies
I was Gleason 7 4/3 and had rp 4/18. Bcr 2021. 36 salvage rt then one undetectable. Yesterday psa .26 after last undetectable 5 months ago. Any thoughts on what to know other than following up w my docs?
Replies to "I was Gleason 7 4/3 and had rp 4/18. Bcr 2021. 36 salvage rt then one..."
Yes same path as you When I was 74 had radiation then on Zolodex for 2 years In 2021 had to have L2 radiated to take out 1 inch metastatic cancer Then 1 1/2 years bone scan shoed some areas in my T11 T12 and left hip So my stage 4 castrate sensitive is going castrate resistive In Jan after our Aruba cruise medical oncologist putting me on Enzalutamide 4 daily chemo pills Prognoses if hopefully 5 years or more I am 78 now
Itterac, curious if your post RP pathology showed cancer contained to prostate or whether cancer was found in Lymph Nodes. Also, was there any perineural invasion? I had Gleason 7 (4/3) and I am trying to assess my reoccurrence risk going forward. FYI - My post RP pathology did not find any cancer in the lymph nodes that were removed and no perineural invasion. I know this is only a point in time assessment, so want to continue assessing experiences of others like me.
Merry Christmas and hope you have an awesome new year,
Jim
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You will probably need a few more psa tests (at 30 days??) to confirm the uptick and then explore the options.
I am pretty sure you have enough PSA in your system to have an accurate PSMA PET/CTscan. That's what I would push for. It will pinpoint any P cancer hot spots. Treatment can then be designed specifically for those spots. Don't go by my say-so I read a lot but I am no pro. Merry Christmas