Does the radiation oncologist also administer the hormone therapy?

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mariateresa
Regular Member


Date Joined Jun 2007
Total Posts : 95
   Posted 2/8/2008 5:22 PM (GMT -7)   
Hello Everyone,

Does the radiation oncologist also administer the hormone therapy? Thank you.

Maria Teresa
Husband Age 55 at time of dx; Maria Teresa age 44
Total PSA 8 on 05/21/07
DRE: prostate bumpy
Biopsy on 07/16/07: 5 out of 8 cores positive, Gleason Score 8 (3+4+5)**
CT of the abd/pelvis; Bone Scan; Xrays done on 08/13/07: Normal
Robotic Surgery Scheduled for September 11, 2007 - Cancelled due to anesthesia complications
Robotic Surgery September 25, 2007
Post Op Gleason 4+5; Positive margin right base of prostate; tumor into seminal vesicle; lymph nodes negative
Next step is the post surgical PSA to determine need for additional treatment
10/24/07 PSA .4 (Goal is .02)
01/28/08 PSA .7 - Told to make appt to start hormone tx and to see a radiation oncologist

**"Report to the Nation on Prostate Cancer" published by the Prostate Cancer Foundation, page 11: "In some cases, the pathologist might identify a third pattern, which is less common but that has a higher grade than either of the first two patterns that comprised the Gleason score. The presence of this third pattern might indicate that the tumor is more aggressive than the Gleason score would otherwise imply. For example, if a Gleason 4+3 tumor also has some grade 5 cells, the cancer would be considered as being of higher grade disease overall."


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 2/8/2008 5:52 PM (GMT -7)   
My dad goes to a cancer center and it is a nurse that actually administers the Lupron injection. However, his Radiation Oncologist is in the same cancer center.
Father's Information
DX July 15, 2007
Age 62 (now 63)
PSA 5.5
Original Gleason 3+4=7 
Post Surgery Gleason- 4+3=7
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin
One positive node
Bone Scan/CT Negative (Sept. 10, 2007)
T3a N1 M0
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07
Lupon beg. Dec 03, 2007 2 yr
Radiation soon to follow
 
 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 2/8/2008 6:00 PM (GMT -7)   
Typically a medical oncologist will prescribe the drug, but I have heard varying stories. One thing that seems to make sense is the order of administering this sequence:

1> Casodex 50mg two weeks before the Lupron injection
2> The Lupron injection
3> a month later begin Radiation.

I didn't exactly follow this protocol, but I was very close. Casodex will prevent "Lupron Flare" or a brief period that the PSA rises after administering the drug. The reason to wait a bit on the radiation is to allow the Lupron to shrink the tumor size and "weaken" the residual disease. I have read this in multiple locations but only the Myers book prescribes it. He does mention a study to support it.

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09. 
 
Visit my Journey at:
 
STAY POSITIVE!


hawkfan75
Regular Member


Date Joined Jan 2007
Total Posts : 165
   Posted 2/9/2008 12:28 AM (GMT -7)   
I still have appointments with both my surgeon and radiation oncologist.  My next appointment will be six months after radiation and will be in radiation.  That same day, I'll go up to urology and get my Zoladex injection.  I'm happy that they work well together.

Age 57 at diagnosis,  PSA 4.7 (up from 3.2 one year ago)
Biopsy November 8, 2006 1 of 10 cores positive 5% LEFT Side Gleason 3+3
Robotic surgery January 19, 2007
Post Surgery Pathology Stage T3a, Gleason 3+4, positive margins and capsular penetration RIGHT Side
Post Surgery PSA:  March 5:  0.01
5 month PSA, June 13, 2007:  0.08
Adjuvant therapy began June 26 with Zoladex injection
Radiation began August 23, ended October 8
First post radiation PSA, December 18, 2007:  0
 
 

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