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Treatment for Prostate Cancer Metastasized to Bones

Prostate Cancer | Last Active: Feb 27 7:27am | Replies (146)
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@cal77

I've watched the link by Dr. Eugene Kwan at the Mayo Clinic 5 times.


He recommends 'Triple Therapy' right at the start for Prostate Cancer that has metatasized to the bones. He says this is not the 'IT' therapy, and yet my Urologist disagrees..

Is everyone getting the 'triple Therapy'??? I am only getting hormone treatment, Elgard and Erleada...I don't understand this...

Why is there no consensus on "Treatment'???

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Replies to "I've watched the link by Dr. Eugene Kwan at the Mayo Clinic 5 times. https://www.youtube.com/watch?v=-RVVq0uDAEE&t=8s He..."
melcanada | @melcanada | Nov 30, 2023

I tried his email but it reject Any idea on how I can ask him a question

It is Kwon not Kwan on bottom of slide

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hbp | @hbp | Dec 1, 2023

Thanks for your post! I watched this Keon video last night and I will watch it again today and take notes. I have an 3 month appointment with my UCLA urologist surgeon in 2 weeks and I will discuss it with him. If I am not satisfied with his response I will get another opinion
( hopefully here in LA but if need be I will travel to Mayo in Phoenix) I suspect that Dr Kwon and Mayo are the gold standard and my UCLA follows the medical standard to care , which may be the minimal medical standard of care. I was diagnosed 2 years ago, had surgery and 13 months of ADT and Erleada and if stats are any guide, I anticipate the cancer will wake up early 2025 or sooner. I am working on being proactive and hoping for a good result

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northoftheborder | @northoftheborder | Dec 1, 2023

As I mentioned earlier in the thread, after watching his videos, it seems a little more nuanced:

- for oligometastatic (just a couple of spots), he recommends "zapping" the metastases (radiation); that was in a separate interview in his YouTube channel
- for more widespread metastases, he recommends the triple therapy right from the start

Again, just a layperson, but the plan seems to be to avoid the really harsh therapy for oligometastatic if you can treat each metastasis separately, but if you can't, then try the triple treatment right from the start instead of one thing at a time.

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