Welcome to this forum, Annie. I'm sorry about
your husband's current diagnosis. I think he is lucky to have you looking out for him.
Also cancer onc has said NO chemo because of age. I see here taxotere is tried ...should chemo be "off the table?
It makes me angry when I read comments like his. While it's true that we generally grow more sensitive to all medications as we age, that does not mean we can't use them at all. Also, it is our physiological age that ought to drive treatment decisions, not our chronological age.
Taxotere has been used successfully in older men. From what I can tell from what you wrote, there are many (5+) bone mets, so chemo may be particularly helpful. It can prolong good quality of life, reduce bone pain and prolong survival. Below are some recent studies on this. They seem to tell us that dose reductions may be necessary, and certainly close monitoring is called for.A prospective study examining elder-relevant outcomes in older adults with prostate cancer undergoing treatment with chemotherapy or abirateroneDocetaxel in very elderly men with metastatic castration-resistant prostate cancerTolerability and efficacy of docetaxel in older men with metastatic castrate-resistant prostate cancer (mCRPC) in the TAX 327 trial
I suggest you email those articles to his oncologist with a short note saying you would like to discuss them at the next meeting.
One of the top urologic oncologists in the world is Celestia Higano at UW Seattle (which is part of SCCA, I think). If you can't get in to see her, her staff is also excellent, particularly Evan Yu.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 9 yr onc. results
•SBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA,PSA now: 0.2,no lasting urinary, rectal or sexual SEsmy PC blog