Stage 4 PC Longevity: Anyone have prostate cancer more than 10 years?

Posted by ringmastr1 @ringmastr1, May 26, 2023

There is a lot of great info on this forum. I am 54 and was just diagnosed in January with metastatic Stage 4 PC. (Hip, L4, Sacrum, and a small liver lesion). My PSA has gone from 359 in January to .24 last week and I feel great! I am curious to know how many guys on this forum have been treated for more than 10 years and what your quality of life is like. It is stories like this that will give me (and others) more hope. Peace to you all!!!

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

@spino

I'm not quite sure how this thread has shifted to discussion of androgen replacement, but when a study says "[ADT] makes no difference [in BCR and overall survival after 70]," it may not mean what you think it means. Studies always look for statistical significance in samples. So this statement most likely means the study (as designed and conducted) was not able to measure a statistically different result, not that in the real world there is no difference. This is meaningful not because men live just as long with or without the disease and/or the treatment, but because every treatment (and every man's life) is uncertain, with time and chance happening to us all.
So, if you decide not to treat, or to vary a treatment protocol, you're always taking an [inexactly] calculated risk. In this case, we're dealing with time to death estimates that are difficult to measure in any study. To give an example, a recent treatment for brain cancer "miraculously" increases mean survival from 18 months to 36 months. That's much easier to measure than increasing mean survival rates of 15 years (from PC) in men over 70 whose mean survival rate overall may also be around 15 years....

Jump to this post

Totally agree. I'm not experimenting on myself. I'm following doctor's orders and staying educated about current treatment options.

REPLY
@mikewo

Scientific studies have shown that for intermediate risk localized prostate cancer androgen deprivation therapy makes no difference in biochemical reoccurrence or overall survival in men over 70 and I am 74. I did not take the six-month Lupron shot as I self-castrated. I have been on testosterone replacement (Androgel) since 2008 when I stop my testosterone level drops to castrate levels in 60 hours. My radiation oncologist didn't believe me and had me tested and it came back at 12 ng/dl which is lower than a Lupron shot does according to their website. Why did I do it if it makes no difference? Just hedging my bets on a favorable outcome. If the PC does come back by then I will probably be 79 and it probably won't kill me anyway and I will die of something else anyway.

Jump to this post

So, am I correct that you do NOT have prostate cancer? But you have low T and are treating it with Androgel.

REPLY
@rxharleydude

So, am I correct that you do NOT have prostate cancer? But you have low T and are treating it with Androgel.

Jump to this post

No, I do have low T and have been on Androgel since 2008 until I stopped it a couple of months before my 5 proton radiation treatment for unfavorable intermediate risk prostate cancer. I had 2 cores that were 4-3 and three that were 3-4 all from the area of the 7mm lesion out of the 30 core fusion guided transperinal biopsy. The rest of my 120 gm prostate was clean. My PSA was 2.9 and had been between 2.3 and 2.9 for 5 years and almost did Active surveillance rather than radiation. I had a PSMA Pet scan that showed that the cancer had not spread but I was unwilling to risk it escaping the prostate, so I went with the radiation. I am 74 so the studies show with me the androgen deprivation really made no difference. By stopping the Androgel my testosterone level dropped to 12 ng/dl without a Lupron shot. The boys got really lazy since 2008 and I will be very interested to see what my levels are when I get my first bloodwork back after 7/5/23 which will also give me my first post radiation PSA. I wonder if the boys have made any kind of comeback or are they still asleep. The only reason I stopped taking the androgel since testosterone at my age makes no difference in biochemical reoccurrance or overall survival is I was just hedging my bets.

REPLY
@melcanada

2018 rad 40 days then Zolodex
2020 stage 4 put back on Zolodex after L2 radiated 1,5 inc cancer out
Jan 2023 L1 and T 10 T 11 so put on Xtandi or Enzalutamide and PSA dropped from 9.8 to 1,7 in a month added Xgeva for bones 1200mg Calcium daily
Prayer helps I feel great back issues don't allow for long walks without sitting L1 would noot be radiateed as to close to L2 with 1.5 inc cancer
78 and they say this should give me 5 years even if Xtandi stops working there are other remedies to control never cure Just like diabetic control it

Jump to this post

Thanks for sharing. Prayer does help.

REPLY

What did they put you on to get PSA so low and how long did it take Describe your journey pls

REPLY

I am 61 years old. I was diagnosed with metastatic de novo PC July 27 2022. My birthday of all days. Cancer showed up in my bones - spine, ribs, and hips. I had intense pain at first - I could not lay on my back. After an emergency Gall Bladder surgery - I still could not lie on my back. Went back to the ER - had CT and Bone scans which confirmed adenocarcinoma PC. Started Casodex (30 days) and 10 cycles Radiation to spine and 5 to ribs. Pain disappeared and has never come back. PSA started at 32 and quickly dropped to 1.005. A month later I started Darolutamide and Chemo therapy. I had 10 cycles of Docetaxel because my blood was other-worldy and 10+ cycles of chemotherapy has greater overall survival (OS) stats. Because I could handle chemo very well my doctor asked if I wanted to continue - so I did. At the end of my 10th chemo cycle my PSA dropped to 0.238 and continued to slowly drop to undetectable. I am a slow PSA dropper. All Genetic and Genomic testing also came back negative. I have Zometa infusions every month and eat a 60% plant based diet, exercise (bands & walking) and I work every day. My recent Bone scan showed great improvement and several spots are now resolved. My treatment was patterned after the ARSENS trial. It has been 5+ years since the ARSENS trial ended. At this time Overall Survival (OS) and time to Castration Resistance still has not been reached from the ARSENS trial.

Lastly, I do not look at or except the SARS data. The SARS data is based on ADT alone. This is a Chronic Disease - the medical community does not know how long anyone will live with this disease. I expect to live 20+ more years. Lastly, I find rest and peace with my relationship with Jesus.

REPLY

Apologies, I meant to say SEERS instead of SARS. SARS is COVID. SEERS data is men who where treated with just ADT and the data is old.

REPLY

I’m 48; and was diagnosed on June 2022 stage IV wit bone Mets

REPLY

First of all dont dwell on too much on the trials and published stats. They are written mostly for professionals, subject to questions and answers at the time of publishing. That can be some time ago. As such, they are pretty scary. A friend who is a GP told me that 70% of cancer patients die from fear!!!!
Dont mind me. I am just another layman trying to make some sense of the whole thing.

REPLY

Just passed 10 years. October 2013. STAGE 4 GLEASON 9. Now 62 and nothing has changed except the medicines and treatments.

REPLY
Please sign in or register to post a reply.