Thanks Jerry. I probably should have stated that my medical oncologist is very conservative and does not want me to go on Lupron holiday at 24 months due to mets, not that no one can.
MY PSA on 11-12-13 was 0.20, so continues to decline. So since my medical oncologist likes one remedy at a time, not adding Avodart or Casodex yet.
His thoughts are that it is better to not give the aggressive PCa a chance to develop a workaround than to even further reduce the testosterone, as long as it continues a downward slope.
I know Myers for example measures DHT, prostate size, vitamin D levels etc and is much more aggressive and metrics driven.
As long as I remain symptom free and pain free, I am OK with plan I am on, but will keep monitoring what Myers is up to for future reference.
Hmm..just sharing what I was told. A doctor I consulted for my dad's issue said if you see a few bone mets on the scan, it means the cancer has spread. You can see the larger ones on the scan. However there are many micro-metastases that are not visible yet. You can radiate the few bone mets but it may not be worth it. Also radiation can destroy healthy bone marrow which will be needed later when undergoing chemo or fighting infections when immunity is down.
It still feels better than doing nothing.
Good luck with the treatment!
I think this is how my medical oncologist at Shands views it too. We are not even doing scans any more unless pain symptoms develop. We have only done the standard bone scans, not the C-11, F-18 etc that Jerry, Sonny and others do. His thinking is that knowing there were more micro mets not visible on the standard scan would not change the remedy to milk Lupron as long as we can.
65 - DX 64 2/13 PSA 3.68 (6 mo doubling) Gleason 9 (4+5)
T1CN0M1B stage IV w. 7 of 12 cores worst ones 70% right PNI
oligometastatic 5 tumors 1 right sacroiliac, 2 thoracic vertebral bodies (spine), 2 right posterior ribs
1st Lupron 4 month 3-28-13, 2nd Aug 1
PSA down was 3.68, 0.68 on 08-08-13, T=24
PSA 0.20 on 11-12-13
UF & Shands treating w curative intent, not just palliative.