First Oncology Appointment

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Finally. 164 days after referral.  Did we get a fully staged and graded diagnosis? No. Despite a PET PSMA scan and a CT scan, they still don't know whether the lung nodule is cancerous or not. However, mets to pelvic lymph nodes and the pelvic bone show it is Stage 4 and DH is aware that it is incurable. 

So, he stops the Orgovyx and goes onto 6 monthly injections, coupled with Abiraterone, calcium,  alendronic acid and Prednisolone and then they look at radiotherapy in the new year.

He is not a candidate for chemo because he already has quite severe neuropathy. 

The consultant told him there was no reason why he should not live a long and productive life. However,  somewhere in the barrage of information the consultant also said that the hormone treatment is only good for 12-18 months, so I really don't know.

  • Hello ansteynomad,

    Sorry to find you on here, but I'm sure that others with a lot more experience will be along shortly to offer their support & thoughts. 

    Having been a site member for just over 2 years now, one thing I have gleaned from the different posts is that each individual reacts in a unique way to treatment & it's very difficult to judge how long a treatment will be effective for, but more importantly, there are lots of different options available in the medical bag that can then be tried & that's not even taking into account new treatments that are currently being trialled / developed.

    There is so much information given at these meetings that it's sometimes nigh on impossible to grasp everything, but to my way of thinking, the thing to focus on at the moment (& going forward) is the fact you were told that there is no reason why he should not live a long & productive life.

    Best Wishes

    Brian

    1. Starting with HT (Hormone Therapy), I’m very surprised that you’ve been told HT is only good for 12/18 months. I’ve been on HT for 3 and a bit years and will be on it for life. I know that’s not the same thing, as “only good for” but why would they continue something that’s worthless. I would get a second opinion on that detail. It might improve your positivity about that part of your LH’s treatments.
    2. Abiraterone is a staple drug that should work very well with the HT. I had good results with that combination.
    3. Keep pressing for a Diagnosis. Self Advocacy is essential and will give you heart. Just doing something to help speed up the process is going to help.
  • Hello  

    Thank you for the update and I note what you say.

    I agree with Brian ( and  - yes the body can become "Hormone Resistant" but it's not a given. I am on my 4th year of the same Hormone drug and it's working well for me. If one treatment stops working there are other tools in the box.

    Abiraterone has many good reports and Radiotherapy is now very targeted and not the "hit and miss" of the old days.

    Remember our Support Line is there for both you and DH on 0808 808 00 00 (8am to 8pm 7 days a week) should you need any extra help and support and there's always someone around for a chat (or vent) if needed.

    Best wishes - Brian.

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