Barree Posted November 16, 2016 Share Posted November 16, 2016 Barree :- Lutetium 177 Treatment - Complete and now behind me . 15.11.2016 Update The final infusion of Lutetium177 was administered mid July 2016. Subsequent scans show quite a few of my bone mets have reduced in size and intensity. Blood tests show a falling PSA but bone pain level has not dropped significantly. PSA at the commencement the trial was 85.6. Blood tests in October show it to be 8.3. It seems that this will be the nadir unless some additional treatment is undertaken. At present the only treatment I am receiving is a 10.8 mgm implant of Zolodex every 3 months. Active surveillance is considered to be the appropriate course of action for the next 3 months, that is until a review is done of a comprehensive series of scans - scheduled for mid January 2017. Results of these scans will determine what ongoing treatment program is most likely to be appropriate. Up until 6 months ago testosterone level has been acceptably low but a test for DHT is overdue. It’s probably time to instigate some tests myself to monitor what’s happening to PSA Testosterone and DHT. Should my PSA level remains where it is at 8.3 my preferred treatment option will be to explore the feasibility of having another Lutetium177 infusion. If this is not considered feasible, advisable or too risky, the scans should provide a reasonable indication as to what I should do next. If an additional Lutetium177 treatment is not practical, maybe some sort of salvage radiation therapy might be possible – something like LDR Brachy. However the practicability of this is totally dependent upon the location of the few remaining hot spots and accessibility. This information should be evident when the next Gallium68 PSMA scan results are reviewed. Another major factor determining ongoing therapy will be examination of original radiation treatment levels and prior treatment locations to ensure that there is no likelihood of creating unwanted problems associated with excessive doses of radiation. Fortunately these records are available and accessible and the original radiation treatment was done on an IMRT machine. Bone Pain I have given some thought to Radium 223 but indications to date are that not a lot of patients have found this to provide much relief. The other things left to investigate are Xevga, Bisphosphonates and specialist pain management. Ever Onward - the next trial treatment is still to be determined. Link to comment Share on other sites More sharing options...
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