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Undergone PSA Test. Looking For Suggestion

Posted on Thu, 16 May 2013

Question: Hello Doctor,

Current PSA report of my Father is 71.
Kindly advice.

Answered by Dr. G.Srinivasan (2 hours later)

Welcome to the forum.
This means he has progressive hormone independent cancer.
The next step is to do bone scan to check for bone metastases.
Bicalutamide may be attempted.
If the PSA still does not respond, he needs chemotherapy.
Best regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. G.Srinivasan (20 minutes later)

Dear Doctor,
Secondary bone metastases was detected before the surgery on 14th January 2009.
Currently he is also having Loss of appetite.

Kindly advice.

Answered by Dr. G.Srinivasan (2 hours later)

Welcome back.
Cancer was under control for a while after the orchiectomy.
Now there is progression, as detected by the PSA test.
The appetite loss is due to disease progression. Only supportive AND PALLIATIVE treatment can be offered.
Chemotherapy as an option is available. A medical oncologist will be able to offer SOME help.
You need to understand the SIDE EFFECTS of chemotherapy before undertaking it.
Best regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar