• 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.

      over 5 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.

      over 5 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 :)

      over 5 years ago
    • MichaelV's Avatar

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

      over 5 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.

      over 5 years ago

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