Announcement

Collapse
No announcement yet.

Bicalutamide use in type 6 stage one cancer

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Bicalutamide use in type 6 stage one cancer

    Hello I am 71 I had a biopsy done that said I had 3+4 + 7 cancer stage 2 less then 5 mil in one core less then 5%. I had my urologist send my slides off to john Hopkins for a second opinion and it came back 3+3 =6 stage 1 cancer. good news. So I was just going to watch it but today I went to see my oncologist and he wants me to start taking 50MG of Bicalutamide. When I look on line I can only find this medication being used on advance prostate cancer . Anybody hear of this medication being used for type 6 prostate cancer thank you

  • #2
    Casodex for Gleason 6 is not a standard care treatment.
    YOB 1957

    DX 12/18, GS 8, 4+4 6/12 cores, LL Apex 100%, LM Apex 60%, LL Mid 50%, LMM 40%, LL Base 5%, LM <5%, Right side negative.

    3/6/19. Post surgery Pathology Report - Grade Group 4 Intraductal Carcinoma
    T3aNO, <1 mm non focal EPE, GS8, 21 mm uni-focal tumor involved 10% of prostate.
    7 Nodes, SV, SM, PNI, and BNI were negative.
    LVI and Cribriform pattern present.
    Decipher .86 High Risk.

    Post Surgery PSA
    3/25/19 .03. (25 days)
    4/25/19 <.03. (2 months)
    5/25/19 <.02 (3 months)
    9/10/2019. <.02 (7 months)
    11/27/2019. <.02. T < 3 (9 months)
    5/19/2020. <.02 (15 months)
    11/2/2020. <.02 (21 months)
    5/11/2021. <.02 T <3 (27 months)
    8/25/2021. <.02 T <3 (30 months)
    12/6/2021. <.02 T <3 (33 months)


    3 Part Modality Treatment Completed

    2/25/19 Robotic Laparoendoscopic Single Site Surgery outpatient Cleveland Clinic, Dr. Kaouk, surgery #41 in US.
    ART - 7/25/-9/25 2019 (78 Gy, yes, I glow in the dark).
    ADT - 5/19- 5/21 Eligard and Casodex.

    Comment


    • #3
      I did not think it was normal either for Gleason six my urologist and the radiation guy I talked to suggested I just watch it. I can not find anything anywhere even suggesting Casodex be used for Gleason 6 maybe this is just my Oncologists personal treatment for Gleason 6 I hear he is a very good doctor

      Comment


      • #4
        I would not take Casodex unless it was needed. The medication caused me stomach upset and I felt some much better when I ended it. Many report growing breasts during treatment.
        YOB 1957

        DX 12/18, GS 8, 4+4 6/12 cores, LL Apex 100%, LM Apex 60%, LL Mid 50%, LMM 40%, LL Base 5%, LM &lt;5%, Right side negative.

        3/6/19. Post surgery Pathology Report - Grade Group 4 Intraductal Carcinoma
        T3aNO, <1 mm non focal EPE, GS8, 21 mm uni-focal tumor involved 10% of prostate.
        7 Nodes, SV, SM, PNI, and BNI were negative.
        LVI and Cribriform pattern present.
        Decipher .86 High Risk.

        Post Surgery PSA
        3/25/19 .03. (25 days)
        4/25/19 <.03. (2 months)
        5/25/19 <.02 (3 months)
        9/10/2019. <.02 (7 months)
        11/27/2019. <.02. T < 3 (9 months)
        5/19/2020. <.02 (15 months)
        11/2/2020. <.02 (21 months)
        5/11/2021. <.02 T <3 (27 months)
        8/25/2021. <.02 T <3 (30 months)
        12/6/2021. <.02 T <3 (33 months)


        3 Part Modality Treatment Completed

        2/25/19 Robotic Laparoendoscopic Single Site Surgery outpatient Cleveland Clinic, Dr. Kaouk, surgery #41 in US.
        ART - 7/25/-9/25 2019 (78 Gy, yes, I glow in the dark).
        ADT - 5/19- 5/21 Eligard and Casodex.

        Comment


        • #5
          Originally posted by rick View Post
          I did not think it was normal either ... I can not find anything anywhere even suggesting Casodex be used for Gleason 6 maybe this is just my Oncologists personal treatment for Gleason 6 I hear he is a very good doctor
          His thoughts are probably depriving your tumor(s) of testosterone to keep the cancer from growing. Maybe a good idea in theory, but probably never proven effective.

          Casualty of 2012 USPSTF recommendations

          Comment


          • #6
            \he said that it would stop the cancer and I would not have to get biopsy and he said side effects were not bad. He also said that eventually the cancer would get resistant to it and one of his patients has been on it 7 years but normally it lasts about 2 years. He was not happy I was not taking it but without finding anything saying this is a standard treatment for gleason 6 I am not very comfortable taking it

            Comment


            • Rob Lee
              Rob Lee commented
              Editing a comment
              I believe you made the right decision.

          • #7
            I agree with Rob Lee.
            Born 1953. All care at Kaiser in LA.

            10/11/18: 2+ low volume (5-20%) G6 cores out of 12. Prostate vol 33g. Confirmed by Dr. Epstein. Ensuing MRIs and bxs similar.
            On AS.
            Urolift for BPH 10/21/19: no help.

            PSA
            8/2/18: 1.2
            3/26/19: 1.8
            6/14/19: 2.2
            10/18/19: 2.0
            5/2021: 1.6
            3/2021: 1.7
            10/2021: 1.9
            3/2022: 1.9

            Head and neck cancer 2009: Surgery and 31 days IMRT. NED for 13 years and counting.

            Comment

            Working...
            X