HT after Radiation

Hello Howard,

I believe it depends on the cancer. In my case I was diagnosed as "advanced" and I received HT concurrent with the radiation and for a two year period. I am on HT holiday at present. There is a good bit of research that HT combined with EBRT has a better outcome than EBRT only in advanced cases. If your PCA was local my research indicates that EBRT and surgery have about the same cure rate with a slight edge to surgery for recurrence ten years out. You may want to wait and see if the EBRT finished the bugger off.

Regards,
Don

Hi Howard,
Welcome to HealingWell. First thank you for your participation in a clinical trial. That's good stuff for all of us. My RP was done by Tim Wilson there at CoH. I assume you are done with the trial and free to do what you want. Your Gleason grade was very risk, and your disease progression was already where mine was. If you continue your rise, I see you back on HT quickly. The question is what protocol? There are many alternatives to ADT, ADT3. Several centers can help you with that, but you will have to ask about them. Your PSA is still low, so until you know what the velocity is, you have time to decide for yourself. Given your grade and progression, I would work hard at it now because the decision is likely near if there is movement.

Stay positive though. Michael Milken, the billionaire, was a G9, stage 4 man and he made many changes in lifestyle and kept good doctors near him. He was diagnosed in 1993 and he is doing well even today.

Peace and hope to you.

Tony

 

 Thanks for all your input. I already have made an appointment with my Onc for the end of August. If I start HT immediately he wants to use Firmagon in place of Lupron. Firmagon offers no flair so I would not need casodex. It also acts withion 3 days as opposed to 2 weeks.  I still am seen by the CoH and remain in the trial although I am considered a failure. They still think that the trial we benefit me on this journey. My Onc has what he calls an umbrella and has a good in with Dr. Scholtz in Marina Del Rey. As all of you I will continue to fight the good fight.

FIGHT ON.

Hey affilated with Scholz, looks mighty fine to me, the advice should flow that is amongest the best. Let us know more on Degarelix (Firmagon)has no flare issues and is called (GnRH)? not an LHRH, works little differently and maybe even be superior for other reasons. All other LHRH drugs if given to a patient without casodex or flutamides prior for like up to 14 days, will cause flare up in T levels and can feed PCa....naturally worse for high stats people whom could get utures blocked and other bizarre things. (Dr. Strum has one guy example of a death because of complications with a flare issue...bizarre deal). Note Dr. Strum says no patient should ever be exposed to a flair scenario...it happens all the time still...uro-docs giving Lupron and such without casodex prior. (ignorance is alive and well, sorry to say). What does this say about other things that they don't know or do correctly???? (clue time)