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Prostate cancer has spread to the C5 vertebrae

Posted by alliblue @alliblue, Feb 13 11:57am

Prostate cancer diagnosed 3 years ago. Today, found C5 vertebrae cancer detected. Prostate surgery was not recommended due to areas wrapped around prostate. Surgery allegedly could have caused paralysis. PET shows no cancer cells in the prostate but cancer moved to the spine. Anyone experience this? And if so, what treatment did you chose? Any information would be helpful even the hard truth about this. Thank you

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alliblue | @alliblue | Feb 13 6:12pm
In reply to @lag "My husband has had many metastases on his spine since 2011, which is a common location..." + (show)
@lag

My husband has had many metastases on his spine since 2011, which is a common location for prostate metastases. All of his have been located on the thoracic and lumbar spine, designated with T and L. They were generally treated with spot radiation until a large number of them appeared at once, which is when he had systemic treatment with docetaxel chemotherapy.

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Thank you -

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alliblue | @alliblue | Feb 13 6:16pm
In reply to @jeffmarc "Your message is confusing. The C5 vertebrae is in your neck. I’ve had C1 through C..." + (show)
@jeffmarc

Your message is confusing. The C5 vertebrae is in your neck. I’ve had C1 through C six operated on, Not cancer related just open them up and stop paralysis

They don’t usually operate on prostate metastasis they use radiation to kill them. Did they not want to do radiation either. I’ve had a metastasis on my spine radiated. I know many other people that have had the same treatment, but I don’t recall any anyone mentioning it in the C1 through C5 area.

Have they mentioned putting you on ADT to try to shrink the metastasis?

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I'm rather confused right now..Y I may not be making sense. Radiation, chemo and meds for the prostate cancer. Results today concerning the C5 issue. Absorbing this and looking for info others may have. Thank you..

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gently | @gently | Feb 13 9:57pm

alliblue, it's good you are involved; it can be overwhealming. It sounds like metastasis to the adrenal gland and then to the fifth cervical vertebra. Lytic means the bone is breaking down. Most vertebral metastases are sclerotic meaning that the bone becomes more dense. So his situation is quite rare.
It helps to get second opinions. And now it is easy with telehealth. If he has copies of imaging, you might send the CDs out for treatment options.

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melcanada | @melcanada | Feb 14 7:00am

Spot radiation of c5
Get on enzalutamide and Xgeva plus take 600mg calcium plus k2 d3

Zolodex to reduce testosterone

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heavyphil | @heavyphil | Feb 14 7:27am
In reply to @jeffmarc "Your message is confusing. The C5 vertebrae is in your neck. I’ve had C1 through C..." + (show)
@jeffmarc

Your message is confusing. The C5 vertebrae is in your neck. I’ve had C1 through C six operated on, Not cancer related just open them up and stop paralysis

They don’t usually operate on prostate metastasis they use radiation to kill them. Did they not want to do radiation either. I’ve had a metastasis on my spine radiated. I know many other people that have had the same treatment, but I don’t recall any anyone mentioning it in the C1 through C5 area.

Have they mentioned putting you on ADT to try to shrink the metastasis?

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I’ve seen it in the clavicle as a single metastasis in a paper on PSMA PET. It’s the “C5 adrenal” part that is confusing; adrenals are in thoracic/lumbar region so where is cervical coming from?
Are there perhaps 2 things occurring at once - metastatic PCa to the C5 AND a separate issue in the adrenal?

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