• Is chemo the only treatment available after prostate cancer is hormono therapy-resistant ? The patient doesn´t have any symptons.

    Asked by Poliana on Monday, December 10, 2012

    Is chemo the only treatment available after prostate cancer is hormono therapy-resistant ? The patient doesn´t have any symptons.

    I´ve witten here about my dad´s journey before (bone mets, without symptons).


    1- Started Lupron Shots (hormone therapy) in june/2011 - PSA 7
    2- January/2012 - PSA 2,8 and in march/2012 - PSA 2,5
    3- June/12 - PSA increased = 5,8 (Started with bicalutamide)
    4- September/12 - PSA incresead more (Started ketoconazole + prednisone)
    5- December/12 - PSA 70.

    My father is scheduled to visit his doctor in december, 17, when he will be evaluated again.

    Other exams done (MRI, x-ray are Ok), no new mets. My father has no symptons and so on.

    My question is: will doctor start with chemo (Docetaxel) or in the case of my father (No symptomatic patient and plenty of energy) there are other good options available (Immunotherapy/vaccine, for example) ??

    If chemo is the case what can we expect from it?

    I would like to receive inputs, experiences, tips from you all (Specially from prostate cancer patients), but any comment will be very important.

    Thanks to all.

    5 Answers from the Community

    5 answers
    • Harry's Avatar

      I'm afraid I'm not a prostrate cancer patient, but I hope I can provide a few thoughts. There are others here who have that and maybe they can offer experiences.

      I don't think anyone here can provide medical advice. We aren't doctors. I think many of your questions are good ones for your father's doctor. This includes alternatives and expected side effects.

      You might think about getting a second opinion. I know that the major cancer treatment centers in the US treat international patients. I'm sure that there are similar centers in Europe. It isn't that I don't think that you can find adequate treatment in Homs, it's just that, if you have a difficult cancer then you want to get a second opinion from someone in the very forefront of treatment.

      almost 4 years ago
    • Nomadicme's Avatar

      You can find the answer, and many more, through the NCCN guidelines. Just register as a nurse, heck who knows you're not (on the website) and you'll get the treatment modalities accessible to oncologists. If you're interested in obtaining but have a hard time, and/or interpreting and need help, feel free to send me an email.

      almost 4 years ago
    • mgm48's Avatar
      mgm48 (Best Answer!)

      Simple answer no. There is abiraterone or Enzalutamide both of which are FDA approved. If you're concerned about Docetaxel, I'd reserve judgement. My experience was a decrease of PSA from 99 to 36 and minimal side effects. My only concern was that the effects were (for me) not long lived. Anoither alternative is always a clinical trial. I am currently on a clinical trial but expect that at some point both of the mentioned drugs will be a part of my treatment. God speed and

      Keep it positive and smile :)

      almost 4 years ago
    • MichaelV's Avatar

      Check out my journey for the last year with Zytiga. I has worked for me.

      almost 4 years ago
    • Marty's Avatar

      My psa is starting to rise. Scans are set for the end of the month. My oncologist listed the following therapies for me: Provenge, Zytiga, chemo, and clinical trials with Enzalutamide (xtandi) and ARQ197. We'll pick the next therapy Feb 1.

      almost 4 years ago

    Help the community by answering this question:

    Create an account to post your answer Already have an account? Sign in!

    By using WhatNext, you agree to our User Agreement, and Privacy Policy

    Read and answer more adenocarcinoma, prostate cancer questions.  Also, don't forget to check out our Adenocarcinoma, Prostate Cancer page.