Posted 7/20/2019 10:05 AM (GMT 0)
Medical oncologist is not suggesting anythng clear, just to continue abiraterone. However, nuclear medicine department where my father got PSMA lutetium therapy the are suggesting to start PSMA actinium therapy which is a part of some trial and is vry vry costly. I dnt knw what more options we have. Please suggestions if there are some other options in our case other than chemotherapy. Like estradiol patches , ketoconazoĺe ???
Diagnosed prostate cancer 2014
Bone scan clear
Initial PSA 8
Radical prostactomy august 2014
PSA after 3 months 5.0
Bone scan showed one met in rib and one at lower back.
Started hormone therapy zolodox and casodex january 2015
PSA jan 2016 0.4ng/ml
stopped casodex
Bone scan showed lesion at sacral ala and lower rib
PSA april 2016 4.5
started taxotere
PSA after 3rd cycle 1.5
PSA after 6th cycle 0.6
PSA after 21 days of 8th cycle 0.4
After one month PSA 2.8
Started Abritrone acetate
PSA after 3 months 5.9
Zolodox changed to Firmagon
PSA after 3 months 15
started Antiandrogen Cyprotene acetate
PSA after 15days 18
PSA after one month (07/09/2017) 27
PSMA SCAN showed scattered bone mets
Lutetium therapy started at AIIMS delhi, India jan 2018.
Psa after first cycle: 0.2
Secnd cycle 0.4
4th cycle 11
5th cycle 22
Kept on Observation psa 44
6th cycle psa 30 (disease burden less than previous psma scan ) started arbiterone and predinsolone
After 3mnths psa 55