PSA level at 53 after cancer diagnosis

Hello,

My father was diagnosed with prostate cancer with the initial PSA level at 17.2 . biopsy report showed gleeson score at 9 and was under treatment with elligard 22.5. its been 3 months and the this time the PSA level has escalated to 53 and as per the MRI scan it was found that the cancer nodules has just spread out of the pelvic region. What should be the best approach from hereon. I am from India and dr Suresh Advani who is a renowned oncologist is treating my father.

Just to list out more options i would like to know what other treatments can be undertaken or would be essential

There has been a lot of recent studies showing the value of surgery for prostate cancer that has spread to the pelvic lymph nodes but no further. That was this case for me, surgery, followed by two years of Lupron and 38 rounds of radiation into the pelvic bed area. So far PSA <0.1.

Good luck

Did he have a bone scan or CT?

My husband was on a different hormone and his PSA started to rise after 3 months before RP. A high risk specialist recommended an additional drug, Bicalutamide (Casodex) and within weeks the PSA dropped by 50%.