← Return to Overtreatment of Prostate Cancer

Discussion

Overtreatment of Prostate Cancer

Prostate Cancer | Last Active: Jan 7, 2024 | Replies (38)

Comment receiving replies
@heavyphil

Well, I am not an oncologist, but I am a patient looking at biochemical relapse after surgery 4 years out. I know I will need about 40 treatments buy they haven't told me yet about how long the duration of hormones would be. From what I've heard, they are NOT fun nor are they good for you, but they do tamp down the disease.
However, it DOES seem like a long time to be on hormones in your case. I could see continuing for maybe 3-6 months after radiation, but more than that?? It seems like overkill to me at this point and I would definitely get a second - and even a third - opinion. There is no "one size fits all" for this disease so you may have other factors that are being considered. If two other oncologist agree with your first one, well that's pretty much it. But I really think you will get a wide diversion of opinions here. Best of luck and please let us all know what you decide.
AL

Jump to this post


Replies to "Well, I am not an oncologist, but I am a patient looking at biochemical relapse after..."

SPPORT trial findings may be helpful.
Also rising PSA after treatment Jan 2023 video PCF.org.
BCR (PSA .19) immediately after RP led to radiation treatment of the whole pelvic region (WPRT) together with the pelvic lymph nodes.
Also 4 mos of ADT.
I thought that I saw the SPPORT trial recommendation was 4 - 6 mos ADT for intermediate PCa and 18 - 24 mos for aggressive disease.
however , I have not been able to re-locate that information.
My Gleason score was a 9, together with 8s.
However my Rad Onc prescribed 4 mos ADT.
2 "radiation buddies " received 6 mos ADT.
And I am not entirely sure why my ADT course was only 4 mos.
I chose Center of Excellence for treatment, so I am having faith.
1st PSA 6 mos following completion of 37 radiation txs (66.6 gy) and ADT undetectable. I will feel better if PSA remains undetectable for at least a couple more tests, but so far so good.
Sincere best wishes.