Feeling Terrified

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My partner is 68, diagnosed in July 2023  ~ Gleason 4 + 5: T3b: M1. PSA 30. Bone scan revealed multiple abnormalities involving the 6th rib, right iliac crest acetabulum and ischium together with the right femoral neck.

Originally on monthly Degarelix injections and recently changed to Prostap 3 monthly injection and daily apalutamide.  Had a course of 6 weekly radiotherapy in December.  Also taking medroxyprogesterone for severe hot flushes.  It’s been 17 months since diagnosis scans.

Feeling anxious on impending new  scan results

  • Good morning  .

    My first thoughts were to see if you could get a second opinion from a centre of excellence which might have access to trials but a lot of the trials are dependent on having been through a sequence of different treatments. 

    My second thought was that they might be looking to see if your husbands PSA drops as a result of coming off the Apalutamide (Androgen Withdrawal Syndrome) which can delay the time before chemotherapy is recommended.

    https://pmc.ncbi.nlm.nih.gov/articles/PMC11534059/

    I am sure others will be along with their thoughts.

  • Hi  , do you have the last few PSA readings?  It looks to me like your partners team are on the case.  David

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.