Any advice would be appreciated. PSA rising 6 weeks after RP

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  • DonnaS67
    DonnaS67 Member Posts: 10
    edited October 2016 #22
    VascodaGama said:

    Treatment with radioactive particles

    Donna

    I am sorry for the situation. This positive result of cancer in bone (T6) is not good news. This finding is tottaly contrary to the surgeon comment in your first post that; "...The pre-surgery prostascint, bone scans and x-rays were negative for any uptake and the surgeon said that it was contained ...."

    This was bad diagnosis turning into bad choice of therapy. I hope the oncologist you are seeing is prostate cancer specialist. The last info you shared indicates your husband's case as very aggressive and advanced, T4 with metastases in bone. This may not be curative but it can be treated and controled for years. Hormonal and chemo are palliative. The radiation we have been so hopeful does not now assure cure too. Radiologists may reserve it to attack those spots causing pain.
    Surely it is possible to radiate the common areas covered in salvage treatments but these do not include bone, in particular those places where RT is not practical.

    Xofigo is the new treatment for bone metastases but it is know to cause nasty side effects. You can read details in here;

    https://www.cancer.gov/types/prostate/research/radium-223-improves-survival

    http://www.cancercenter.com/cancer-drugs/Radium-223/

    There is another similar therapy using radioactive particles named Lu 177 (Lutetium) this is new and still under clinical trials but it is reported not causing critical side effects. You can discuss with the new doctor about these treatments. Make some copies. Please read details in here;

    http://www.imperialendo.com/for-doctors/lutetium-therapy/lutetium-therapy-patient-information-sheet

    Best wishes,

    VG

    Thanks

    I agree that we got a bad diagnosis and that likely the RP was unecessary.  I will ask the oncologist about the medicines above and we are also going to try to change to a plant based diet for a while to see if that will help with his blood pressure and cholesterol at least while we arei n this high stress situation..

  • DonnaS67
    DonnaS67 Member Posts: 10
    #23
    Old Salt said:

    Spot irradiation?

    I have read that cancerous sites in bone sometimes can be killed with spot irradiation (like SBRT). Has that possibility been discussed?

    Just a thought...

    Yes

    Yes, we asked about that, however, they said they would not use the spot radiation unless my husband was in a lot of pain from it or it was compressing the spunal chord.

     

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