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PSA - 17.1, are Lupron injections necessary?

Prostate Cancer | Last Active: Apr 11 7:23am | Replies (84)

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@hbp

Treatment for a low risk Prostate cancer, Gleason score 6 or 7 or less, is usually to monitor and test, that is much different than treatment for an aggressive high Gleason score cancer. You and I both have an aggressive Gleason score 9 cancer. I had a year of ADT plus Erleada and RP. It appears that my cancer is presently sleeping and I will do all that my doctors tell me to do to keep my cancer sleeping. I think that getting aggressive treatment for my aggressive cancer was the right thing to do and I am thankful that I got it and hopeful for the long future.

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Replies to "Treatment for a low risk Prostate cancer, Gleason score 6 or 7 or less, is usually..."

Similar situation here, 82 years old. Family history of aggressive PC (Dad's PSA was 1050 but he lived to 90). Younger brother just finished a two year course so I'm advising my son and grandsons to get the PSA checked on a regular basis. Mine has metastasized to multiple locations and I believe that it stared spreading even before the PSA took a sudden jump (to 13.5). So, I question the sensitivity of the PSA screening but it may be the best that's available. Mine is also in dormancy but I also recently read that 90% of cancer deaths occur with cancers that were previously dormant. I'm on Eligard and generic Zytiga and the latest PSA number is .008.

My grandfather has Gleason score 6 and slowly raising PSA - 16.9. Currently, he has no treatment, just monitor and bone scans/blood test. When we ask doctor is any treatment should be administered, she said Lupron injections. But I am not convinced he needs it and side effects might outweigh the benefits. My grandfather is a healthy 79 year old man, who is currently takes no medication of any kind.