Actually when I heard that I only had one 9 mm lesion on my femur I thought it was relatively good news given my rapid doubling time and poor prognosis at pathology post RP. It was also good to hear that I had no recurrence in any other area particularly pelvic lymph nodes which had a massive dose of IMRT.
When my RO offered IMRT to the new met he said it was better for me than SBRT given I had a long life expectancy because SBRT has not been proven to be effective for the long term. Now that was an encouraging statement! But has SBRT been proven to be less effective than IMRT over a long period? Has anyone seen comparison studies? Also is cyberknife essentially the same as SBRT and equally as effective?
Regarding ADT resumption, I took my first casodex pill yesterday and have a 3 month Lupron shot scheduled for next Thursday. I'll look into firmagon instead if it works more quickly. My RO is a big proponent of Snuffy Meyers who believes in throwing everything at PCa which is why I'm on all the other stuff listed in my signature.
DOB January 1944 (now age 73)
PSA: 8/12 2.7; 5/13, 6.6 (actually double due to finasteride)
7/13 (age 69) Bx GS 4+4=8 (Bostwick); GS 4+5=9 (Epstein); 2 of 6 cores, 10%, 40%; stage Pt1c
8/13 bone scan negative
9/13 ORRP at John Hopkins, GS 4+5=9, BLSVIs+, margin+ (4mm,G7), EPE, 10 Nodes resected (clear); stage upgraded to pt3bN0M0
PSA: 11/13 0.1; 2/14 0.2; 5/14 0.3
6/14 SRT by IMRT/IGRT, Lewis cancer Ctr. 68.2 grays/38 sessions to prostate bed, ADT (6 months Lupron)
PSA: 9/14 to 8/15: <.1, <.1, .1, .3, .7, 1.2
7/15 CT-PET f-18 bone scan negative
9/15 MRI, CT-PET at Sand Lake Imaging find iliac lymph nodes suspicious for PCa; organs and soft tissue clear
9/15-12/15 IMRT/D.A.R.T. at Dattoli , 75 grays/50 sessions to all pelvic lymph nodes
9/15-11/16: 13 months ADT3 (Lupron, bicaludimide, dutasteride) plus Metformin, Cabergoline, Estradiol patch, Prolia , Vitamin D3, calcium
6/16: color-flow Doppler ultrasound, combined helical CT pelvis, abdomen and chest and QCT for bone density and FDG 18 Pet scan negative for PCa
12/16: color-flow Doppler ultrasound, combined helical CT pelvis, abdomen and chest and QCT for bone density negative for PCa; finasteride added to dutasteride.
PSA: 11/15 .084; 3/16 .034; 6/16 .028; 9/16 .045; 12/16 .194; 1/17 .484; 2/17 1.1; 3/17 1.3;
Post Edited (Break60) : 5/11/2017 8:49:12 AM (GMT-6)