PSADT rates while on Lupron

kentmgreer

PSA History of:

-post radical prostatectomy (T3B) with salvage radiation as of 2014

(no data in hand, post-radiation PSA ~0.1 from 2014-2018)

8/2018: 0.2

2/2019: 0.4

**Spoke with my doctor and got on 90-day Lupron 2/28/2019

5/2019: <0.1

**Doctor skipped dosage as PSA/testosterone levels (18) were low

8/2019: 0.4

 

In Feb 2019, my oncologist said my PSADT was ~6mos and recommended the Lupron due to my age (57), we started lupron injections and I was told to follow up in 90 days. Then my PSA and T levels were within a threshold so they postponed my shot and followed up in another 90 days.

 

My most recent PSA is back at 0.4. Am I to assume that it "returned" (or never left) 0.4? Or does the Lupron"shrink" the PSA to a 0.1 and I have a new doubling time that it has grown to 0.4? 

 

 

Note: Annual bone scans do not show any masses to date. I just went in to get the 2nd dosage of Lupron (trying to get the data on dosage from both injections to confirm). 

hewhositsoncushions

HiKent

HiKent

Welcome aboard. Sorry to hear your situation.

I have never heard of doctors pausing HT treatment based on T levels unless they are specifically doing intermittent HT. Sounds bloody irresponsible to me, especially of they did not discuss the options and risks.

I suspect that missing the shot simply meant that it returned to where it was prior to the HT.

Two choices I wonder.

1) Return to Lupron and keep it under control, monitoring as needed. I suggest three montrhly PSA tests, no longer.

2) Defer and do a test in three months to et a better idea of the DT then back on if needed.

Either way would suggest more technically advanced scans (PET/Choline etc. - others can advise.

I am not sure what the right answer is but if they are not having conversations about strategy, options, risks and consequences or offering the more advanced scans I would sack them and find an onco who does.

H