My dear husband changed to Cabazitaxel 3 weeks before Easter. He was so ill for two weeks in bed headache vomiting. We thought it was the chemo or the Zarzio injections. He started to pick up a bit week three but then on Good Friday he got a bad headache and droopy eye, runny nose, sounds in right ear, temperature up. He was so poorly by the evening I took him to A&E. Within minutes they had him in a wheelchair and on a fentanyl drip for the pain and then did CT scans, xrays, bloods. At 4:30 am we saw the doctor. I was expecting an infection due to chemo but they told us they had found a brain tumour in the right temporal lobe.We are just devastated. I don’t know what to do. He cries all the time. We are still waiting for a brain MRI next week to check for more tumours. Interestingly the doctor said the Cabazitaxel penetrates the blood brain barrier and caused inflammation around the tumour which caused the headache, Docetaxel doesn’t penetrate the blood brain barrier so his previous Docetaxel didn’t affect it. They say if he had not switched to Cabazitaxel we probably still wouldn’t know. There is nothing on the internet. It says prostate cancer goes to the brain in less than 1% of people. Why us, he is only 66. Has anyone else any experience of this.
Was he diagnosed with Ductal Adeno Carcinoma? I have that and have just had a RP. They say that it is likely to spread - to visceral organs. So we’re just waiting to see where it goes. I’m 64.
i really hope your husband comes out of this ok.
HappyPixel I was wondering if you perhaps knew more about Ductal Adeno arinoma. Does the following Pathology indicate Ductal Adeno arinoma?
I’m no expert, but that does sound like DAC to me.
It was adenocarcinoma on biopsy but I don’t remember it differentiating between Acinar or Ductal on the report. I will take another look, it was 6 years ago. He was gleason 4+3=7 confined to prostate with perinural invasion on diagnosis.
They seem to give Ductal a Gleason score of 4+4=8 … so maybe his wasn’t Ductal. I really hope not - it doesn’t sound nice at all.
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