Prostrate cancer in lungs that are subcentimeter in size?
My prostrate cancer is nowhere in my body except in my lungs per three Pmsa scans. My psa is 20.1 and has gone up 1 point in a year.
The size of the nodules are subcentimeter in size. Very small.
Should I start Lipton treatment or wait till they are larger?
Interested in more discussions like this? Go to the Prostate Cancer Support Group.
Several years ago I read something about prostate cancer in the lungs, but it was never a stand alone and had always metastasized from somewhere else and most prostate cancer in the lungs was only discovered post mortem. The only (more favorable) way to determine if these sub centimeter lung nodules are cancer would be via a needle biopsy not a PSMA. My lay opinion is that the nodules are not cancerous and I would not begin cancer treatment until several of the nodules were subject to a biopsy.
PSMA PET scan in 2/24 showed a small lung nodule. Follow-up 6 month CT scans in 8/24 and 1/25 show the nodule still there but it has been stable (4mm). My Drs have not expressed concern and the radiology impression is that it's probably benign and probably infection. But if it's "infection", wouldn't it go away by now. I've got another 6-month CT tomorrow. My PSA has been < 0.01 for 2 years. But, I've learned that neither PSA or PET are always reliable. I've read it's highly unlikely to have metastasis to the lungs without it already showing up somewhere else first?
Enz bitraterone chemo Radiun 223 all failed PSA jumped to 424 up 20
Hvequalified for LU 177 but it may not work
Doc said may have 6 months to live
Help @northernhiker @canada3000 @mayoclinic33
Yes, ADT/Hormone Therapy, and spot radiation have worked well along with quarterly oncology monitoring. Prayers for you and dad.
Hi my father had stage 4 prostate cancer spreaded to thd bone in the year 2023 but recently found it had spread to the liver. Can you share your treatments that worked for you
Welcome, @jmarshall29. You might be interested in these related discussion about intermittent ADT.
- Anyone take a Treatment Holiday? Intermittent use of ADT (hormone Tx)
https://connect.mayoclinic.org/discussion/anyone-take-a-treatment-holiday-intermittent-use-of-adt-like-orgovy/
- When to resume intermittent hormone therapy?
https://connect.mayoclinic.org/discussion/when-to-resume-intermittent-hormone-therapy/
Great to see that you're doing well in 2024 after a liver-metastasis diagnosis in 2020! The prognosis for many cancer situations is so much better than it was 5–10 years ago.
My Stage 4 Prostate Cancer spread to liver and lungs. Diagnosis in 12/2020, Radiation, Chemo, (2021) + Hormone continues. 3.4 years in overall health is good, maybe best ever. Go for CT Scan next month.
I hope you had success in the trial. I have Gleason 8 with lung only metastasis. Ive been on Lupron and Darolutimide for a year but now deciding to take a holiday since I had a good initial response to ADT and PSA is undetectable. I’m trying to determine whether the intermittent therapy is a mistake and if someone with a similar diagnosis has thoughts on treatment.
Hi,
My husband has recurrent prostate cancer and is on Orgovyx and Zytiga for three months. It PET scan in February showed illiac involvement, and after therapy was repeated in July. The PET scan showed no activity in the illiac area, however, there were nodules in the lung. RUL 1.6 cm and RLL as well. His PSA is undetectable. He had a bronchoscopy to r/o cancer or possible infection. The result was an infection. Best of luck to you!!