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Difficult decisions

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User
Posted 12 Nov 2018 at 10:39

I have difficult decision to make this week, chemo or no chemo. Had robotic surgery prostate removal early April 2018, unfortunately I have still ended up with pulmonary metastasis, started hormone therapy 4 weeks ago no side effects (hope it is working ?) now I have to decide whether to have chemo or not, 6 x 3 weeks Docetaxel (Taxotere) statistics quoted around 70 months and maybe 80 months if I undertake chemo, does not look good trade off 18 weeks of chemo plus whatever recovery is after that for extra 10 months. Anyone with experience of this dilemma – quality or quantity very hard to get head round this – many thanks for reading.

User
Posted 12 Nov 2018 at 12:02
Don't think you can directly transpose the survival rates like that. If the chemo works well on your hormone naive PC it could get you many years of additional benefit from the HT.

User
Posted 12 Nov 2018 at 16:52
Chemo is used quite differently these days and so the statistics reflecting former practices are hardly relevant. I agree with francij1.

AC

User
Posted 12 Nov 2018 at 17:47

I understand your dilemma, just had my third docataxel chemo session today. Forget about the 18 week myth, you feel groggy for the first week but by day 8 you're back to normal so weeks 2 and 3 in between doses you can do virtually anything particularly with the steroids keeping you going on full throttle.

Go for the the chemo and HT, my PSA is down to 1.42 from the 13.94 I received on diagnosis in August.

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User
Posted 12 Nov 2018 at 12:02
Don't think you can directly transpose the survival rates like that. If the chemo works well on your hormone naive PC it could get you many years of additional benefit from the HT.

User
Posted 12 Nov 2018 at 16:52
Chemo is used quite differently these days and so the statistics reflecting former practices are hardly relevant. I agree with francij1.

AC

User
Posted 12 Nov 2018 at 17:47

I understand your dilemma, just had my third docataxel chemo session today. Forget about the 18 week myth, you feel groggy for the first week but by day 8 you're back to normal so weeks 2 and 3 in between doses you can do virtually anything particularly with the steroids keeping you going on full throttle.

Go for the the chemo and HT, my PSA is down to 1.42 from the 13.94 I received on diagnosis in August.

 
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