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Radiologist this week.. 1 Lesion found in pelvis. Advice?

Posted by begreat99 @begreat99, Nov 29 4:21am

I am a healthy 67 year old man. Annual physical showed 9.7psa after prior was 4.6 and in watch mode. Surgery in Feb. Now this…

Prostate cancer metastatic to bone (C61) (185)
Prognosis: Hx of PCa s/p RALP with Gleason 4+3 pT3bN0 PCa with rising PSA up to 0.2 now with biopsy proven oligo metastatic lesion in the pelvis.

Any advice on treatment options?

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brianjarvis | @brianjarvis | 6 days ago
In reply to @begreat99 "@brianjarvis Thank you for insights. I am just now entering this next phase of treatment which..." + (show)
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@brianjarvis Thank you for insights. I am just now entering this next phase of treatment which was a surprise. My scan and MRI in December were both clear before surgery, offering hope for a clean surgery with Dr. Pow-Sang at Moffitt here in Tampa. Upon surgery cancer was found in the seminal vesicle and thus we knew radiation was in front of us. PSA rose from .1 to .14 to .203 so we started planning radiation. The next scan prior to starting treatment showed the small lesion in the bone only. I am meeting with the radiologist this week after getting genetic tests. Taking Orgovyx now and starting Nubequa in 2 weeks per Urologist. Oncologist was concerned about rapid rise in PSA and aggressive form of cancer. I am healthy and want to hit it hard as possible now.

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@begreat99 It’s always difficult to know if they got it all. Each of us hopes that the bone/CT/MRI/PSMA PET scans see everything the first time; but that isn’t always the case. (My urologist/surgeon gave me a 50/50 chance of it being clean after surgery, but he could only be sure once he got in; that was a scary prognosis.)
It’s good that they’re now hitting yours hard with doublet therapy.

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