Quincy, I am a newbie on Lupron, only since 3-28-2013. So not in a positiion to offer you a lot of advice, but do have some.
With my G9 and bony mets metrics, someday I will be relying on your results to decide what path to take.
My radiation oncologist did mention Radioum 223 as a future possibility when my advanced PCa becomes resistant. It is FDA approved now and kind of a liquid radiation for bone mets.
I recently had MRIs of the thoracic spine and of the Sacroiliac. Though the MRIs confirmed the bone mets, the one which lit up the bone scan the most actually turned out to be a 4 MM benign herniated disc at T7-T8 with extrinsic compression of the right exiting root sleeve. Sounds pretty bad but no pain or other symptoms.
So the MRI report conclusion was that lesions are present involving the T4 and T9 vertebral bodies consistent with mild metastatic disease disease. No paraspinal masses are noted at these 2 levels.
To me mild met disease is like mild heart attack, it's only mild when it is somebody else.
Long way of saying if you have not already done so, supplement the bone scans with MRI's.
I will be praying for a great outcome for you, Quincy, whatever you decide.
Dx @ age 64 Feb 2013 PSA 3.68 (6 mo doubling) Gleason 9 (4+5)
T1CN0M1B a/k/a D2 Adenocarcinoma w. 7 of 12 cores worst ones 70% right perineural Invasion PNI
oligometastatic 5 tumors 1 right sacroiliac, 2 thoracic vertebral bodies (spine), 2 right posterior ribs
1st Lupron 4 month 3-28-2013.
PSA 07-08-13 =0.2 w free PSA 0.1, T=20
UF & Shands treating w curative intent, not just palliative.
Post Edited (T1cN0M1b-in-FL) : 8/19/2013 5:08:56 AM (GMT-6)