Yesterday, I met with my oncologist. My PSA has risen to the mid 30’s from the mid 20’s two months ago. Not terrible, but not good. The disease continues to make advances.
We talked about when I should go on Zytiga and he admitted that he’s kept me off of it due to concerns that the side effects, especially depression, would be a problem. After thinking about it, I don’t really see that I have much of a choice but to try it out. With Lupron and Casodex alone, my cancer will continue to make headway. If I can’t tolerate the Zytiga, there’s an alternative Xtandi. If they work, they’ll at least significantly slow the advance, until they too fail. If I can’t handle either of them, I’m really screwed.
He volunteered to look into clinical trials for me, which I quickly accepted. I’m hoping for something that’s DNA based and targeted.
All in all a sad day for me. I wish there was some drug or treatment, even chemotherapy, that held out the hope for remission, but that’s not the case with stage IV prostate cancer. The disease just keeps advancing.
I’ll probably get a Provenge treatment before long. They take your blood and build up antibodies within it and then reinject it into the patient. It’s supposed to extend life by 2-3 months. There’s also Xifigo, which is a radiation injection that targets prostate cancer cells. It’s usually administered after bone pain starts appearing. It also has been shown to extend life 2-3 months.
On the subject of bone pain, I go in for an MRI on July7 to look at my lower back and right hip. I think it’s arthritis, but my oncologist wants to be sure it’s not bone pain. Who knows I may be in for an Xifigo treatment shortly.