Lupron or Not at 76?
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).
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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.
@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.)
@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.