• If my cancer has metastasized past the prostate is surgery the best option?

    Asked by HotRodTodd on Tuesday, March 5, 2013

    If my cancer has metastasized past the prostate is surgery the best option?

    4 Answers from the Community

    4 answers
    • nancyjac's Avatar

      Every case is different, but generally, surgery is not used for metastasized cancer because there may be too many areas of metastasis or they may be in vital organs that cannot be removed. Generally, the first line treatment is chemotherapy since that is a systemic treatment and will affect all areas of metastasis.

      over 3 years ago
    • Afterglow's Avatar

      Every indication was that my cancer most likely was outside the prostate, but had not spread beyond the prostate bed. Based on this, my urologist recommended against surgery (even though he is a surgeon). His logic was that I would have to have additional treatment anyway (in my case radiation) so why go through the trauma and potential side effects of surgery, the other treatment would take care of any cancer in the prostate itself without removing it. My stats indicated a "reasonable" chance of cure with the combination of radiation and hormone therapy. If I'm lucky, I'll never know if the cancer was totally eliminated. However, I'm almost four years from diagnosis and doing well. Through my last follow-up in October, PSA is staying down where it should be, not quite undetectable, and my prostate, in the words of the urologist, is "flat as a pancake" so the radiation treatment appears to have been effective there. (I'm sure you can figure out how he knows the prostate is flat as a paancake, I won't bother explaining.)

      over 3 years ago
    • Ross' Avatar

      I liked reading Afterglow's comments regarding treatment without surgery. 3 years ago+ when I learned of my biopsy results, my urologist recommened surgery and my wife & I agreed. At the time I liked the thought that the cancer would be gone. Of course, not all cancer was gone and thus began radiation and hormone therapy. I suppose I would make the same choice today.
      As of now I have no active cancer and a PSA >.008. So life goes on. Best wishes.

      over 3 years ago
    • mgm48's Avatar

      While everyone is different my short version is: I had surgery and after 5 years of no cancer it returned. In my case it had metastasized to the bone and lymph nodes. Hormone therapy (Zoladex in my case or Lupron) shuts off the testosterone and slows down the cancer. In my case that worked for about 12 weeks (others have had hormone therapy work for years) and then after another 16 weeks of PSA increases we did Chemo (Docetaxel) and for 18 weeks PSA dropped and chemo ended. When the chemo holiday did not last. I chose to do a clinical trial (Cabozantinib) that I qualified for rather than do Zytiga, Xtandi or Jevtana (another advanced chemo). That's not to say those drugs won't be in my future should the trial not be successful. Which at the moment is not the case, we are into the second 12 weeks of the trial and all is well.

      I guess what I would say in general is that it all depends on you. Realize that you have choices and need to listen to your doctors and do your research AND ask questions, every question you can think of - why not x,y,or z? why a? How does your suggestion deal with my situation? etc.

      Best wishes and good luck.

      Keep it positive and smile :)

      over 3 years ago

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