The medical oncologists at MSK, particularly Howard Scher, are about
the best anywhere, so he is in good hands. I'm impressed by all the therapies they've tried on him.
It is unlikely that the cancer is only
in the lymph nodes. While the detectable
cancer is only in the lymph nodes, there is probably a lot of cancer that is undetectable
-- it is micrometastatic and systemic. MSK is testing a new radiotherapeutic agent, similar to Lu-177-PSMA, that may be even better. But because he already had the Lu-177-PSMA, he is not eligible for it. He may be able to get it in Germany:/pcnrv.blogspot.com/2017/01/i-131-mip-1095-new-radiopharmaceutical.html
Is his testosterone level suppressed by the ADT? If not, maybe an estrogen patch can help. There are clinical trials for some new hormonal agents, apalutamide and darolutamide, that he may not be resistant to.
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: 0.1,no lasting urinary, rectal or sexual SEsmy PC blog