Bone Metastasis: What treatment did you have?
My last PET scan showed a "sclerotic lesion on my right acetabulum" measuring 1.5 x 1.5 cm (PSA was 0.18 and testosterone 37 at the time of the scan; I was coming off ADT from last year), which was an increase from my prior scan a few months earlier. Planning on 4 months of ADT and 1-day radiation treatment at Mayo. This is my 3rd reoccurrence (Gleason 4+3=7, surgery 12/17, radiation to prostate bed in 2018, radiation to lymph node area near abdomen in 2023). I had no pain until after receiving the PET scan results, then felt mild hip pain on the plane home in February and ever since.
I would welcome and appreciate if anyone has experience with hip bone treatment/radiation they can share (i.e., any noticeable pain, treatment, outcome, etc.)?
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My Dr didn’t go over the results in a lot of detail, the biopsy showed 5+4 with metastatic to the prostate nerve, I asked what now? He said we do Pet scan and go from there, the pet scan show bone and two lymph nodes, so he scheduled a consultation with an oncologist so that will be next, I have to admit that I’m a little at loss, I didn’t not even know what I should had asked I know the sooner I accept the fact the better off I’m will be.
Thank you Jeff
Zzotte
It seems like you might be able to better advocate for yourself if you got the full results of the tests that have been done, like the biopsy, Decipher (if done), etc. While we cannot tell you what to do, we can look at that and tell you our own experiences based the same or similar results.
You have to understand that with good treatment, you could live many more years. You have a chance to be proactive, Find out a lot about what can be done, And then be prepared when you talk to the doctor.
When your doctor says you have bone Metastasis is it just one spot or are there more spots. That’s important to know because the more spots there are the more complex it gets.
Now they say that you are going to have an oncologist to work with. You want to make sure it’s the right type of oncologist. Genito Urinary Oncologists specialize in prostate cancer, Medical oncologist work with all different types of cancer. You want to speak with a GU oncologist about what is the best treatment to get? If you are going to do chemo, then you may go to a medical oncologist.
Tell your doctor you would like a copy of the biopsy report. You can check your medical records. It might be able to be downloaded from there.
You have a serious case of prostate cancer. You really need to get a second opinion so you can get the best advice and Have choices that make sense. Not sure where you are going now, Working with a center of excellence will give you a chance to have multiple doctors looking at all aspects of your Diagnosis and treatment.
There are a lot of people writing in this forum with similar cases to yours. Take a look at the titles and first message in this forum and find ones that are similar to your case and see what people said to do. You can get a real education here.
I forgot to welcome you to the club within a club (metastatic prostate cancer). 😕
As @jeffmarc mentioned, going to a decent multidisciplinary cancer research centre is critical at this point, because treatments for stage 4 PCa have changed enormously over the past few years, and the word hasn't gotten out to all the smaller practitioners yet.
If treated quickly with the latest best practices, it might become more like a chronic disease than a terminal one, at least for many years, and maybe indefinitely.
There are no guarantees, but we have genuine hope now.
https://www.scientificamerican.com/article/treating-prostate-cancer-at-any-stage/
Thank Jeff I will do the search,
Zzotte
Thank you, great info
Zzotte
@zzotte, I moved your question about treatment options when prostate cancer has spread to the bones to this related discussion:
- Bone Metastasis: What treatment did you have?https://connect.mayoclinic.org/discussion/hip-bone-metastasis/
See many more discussions as @jeffmarc suggest using the search term "bone metastasis"
https://connect.mayoclinic.org/group/prostate-cancer/?search=Bone%20Metastasis&index=discussions
What treatment options are being suggested for you, Zzotte?