Lupron or Not at 76?

Posted by tbgb50 @tbgb50, Aug 1 10:36am

Background - biopsy in 2022 was completely clean. Biopsy in 2026, Gleason 9. PET shows cancer is localized.

Had first appointment with oncologist yesterday. Recommended 5 weeks of Photon radiation treatments and 2 years of Lupron. I'm fine with the radiation but:

I was told the success rate is 80% for the radiation and another 5% with the Lupron. One problem is the 80% success rate is not based on age groups so it's difficult to decide if the Lupron is worth it because:

I was told at 76 the 'recovery period' for Lupron = the amount of time you get the treatment. So 2 years of treatment + 2 years of recovery = 4 years. I'd be 80 and I was told at this age you often don't see the side effects of Lupron reverse so it seems high risk for not much reward.

Am I thinking about this correctly?

Has anyone roughly my age gone with Lupron and really regretted it? Why

THANKS!

FWIW at this point I need to decided between:

Radiation only
Radiation + 1 year of Lupron (my idea)
Radiation + 2 years of Lupron (recommendation from urologist and oncologist).

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

Greetings
Lungs, jawbone, upper shoulders, spine and pelvic area. Yes cancer is castrate resistant. Since 3 years ADT. The cancer has regressed in jawbone and shoulder. But still in spine , pelvis area and lungs. Because of age chemo is ruled out.

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Profile picture for asims @asims

@brianjarvis

Greetings
Lungs, jawbone, upper shoulders, spine and pelvic area. Yes cancer is castrate resistant. Since 3 years ADT. The cancer has regressed in jawbone and shoulder. But still in spine , pelvis area and lungs. Because of age chemo is ruled out.

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@asims Like Pluvicto, Xofigo (Radium-223) is another isotope therapy, but it’s only for bone metastasis. Have they considered that? (It won’t treat the lung lesion, because it attaches to bone.)

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Profile picture for brianjarvis @brianjarvis

@asims Like Pluvicto, Xofigo (Radium-223) is another isotope therapy, but it’s only for bone metastasis. Have they considered that? (It won’t treat the lung lesion, because it attaches to bone.)

Jump to this post

@brianjarvis

Unfortunately, his doctors say there no other viable options based on age and ADT resistance.

He will just do lupron. I put in God’s hands now.

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