I saw my home town MO last Friday. She advised leuprolide and RT. I'll be seeing the RT guy in two days and starting back on leuprolide the same day ( if this were a smart phone I'd insert a big frowny face, maybe with a little tear on it, here). Meanwhile Mayo called and said the same and said be sure to take the leuprolide for three or four months before the RT so that the number of tumor cells that end up needing RT is reduced as low as possible-- better result.
And this makes sense to me. I'm hoping that this is the only met and I can still be cured. But even if this isn't curable it makes sense to me to keep the number of cancer cells as low as possible for as long as possible at least if one can do that without too much toxicity.
PSA 6/14=3.66, 6/15=8.41 67yo
7/15: 3/12 cores pos,
RALP 8/15: G4+4, L SV+, margins neg. 1/6 nodes+
PSA 5 weeks later 0.92 bone scan, MRI, CT all neg
Choline 11 PET: 2mm LN+ pelvis
18 mos Lupron 10/15-3/17 IMRT 1/16 to 68 GY
PSA undetectable until 12/18: 0.11
PSA 1/19 .17;2/19 .34;5/19 1.4
Choline 11 PET and Ga-PSMA PET: one met in sacrum 5/20
Post Edited (Argent) : 5/13/2019 2:54:07 PM (GMT-6)