Got an Axumin scan 2 months (at PSA of 3.3) ago that found 2 hot pelvic lymph nodes. Saw an RO and asked if he can zap those, still waiting for a decision, but started back on leuprolide chemo (Firmagon) 2 weeks back in the interum.
When you have less than 5 mets, a number of medical professionals are now calling that state "oligometastatic" and several studies indicate that you may still be "curable". Kinda cutting edge ATM, but something to consider. If they zap the mets, sometimes the bits of dead met protein floating around in your blood seems to alert
your immune system and it goes to work on the remaining cancer. This is inferred by a major increase in the number of T cells in the blood stream and a cessation of PSA rise.
Since the first round (2 &1/2 years) of leuprolide killed off my testicles (leuprolide chemo side effect
), the loss of the last bit of testosterone hasn't really affected me this go-round. Body hair is all falling out, though, so the leuprolide has indeed shut down my hypothalamus and pituitary.
b 1950, 2012 PSA=11, 12/12 cores +. DVRP 12/27/12. 36 g, 35% PCa,EC ext., SV+,+ marg T3bX, G7(4+3). 2 week post-RP PSA=0.2, Firmagon ADT. Cont @ 3 mo, EBRT 70 Gy/40 ses. Last 6 mo. Eligard 10/14. 4/15 T=2.2, PSA<.02. 10/16 T=204, PSA=.08, 2/17 PSA=.13, 3/17 T=307 PSA=.19, 4/17 PSA=.21, 4/18 PSA=.65 6/18 PSA=1.15 8/18 PSA=1.15 11/18 PSA=1.58 1/19 PSA=1.67 3/19 PSA=2.12 8/19 PSA=2.9 10/19 PSA=3.3