Hi everyone,
I'm posting this on behalf of my dad, who lives outside the UK (so treatment options may be different). He's 81 and was diagnosed last year (details in profile), and his doctor recommended quite aggressive treatment, monthly Firmagon injections, apalutamide tablets daily and 6 cycles of chemo. He was in very bad shape then, after his TURP surgery, with chronic kidney disease and so the oncologist decided not to pursue the chemo option then, and just see how well he would fare on the other therapies.
So 6 months on, here's what the PSA has been doing...
4 Oct 2022 (at diagnosis) 1698
27 Oct 2022 211
6 Nov 2022 96
9 Dec 2022 15
10 Mar 2023 4
His urologist thinks it should drop to zero in another month or so, but has already strongly urged chemo treatment if it doesn't drop to zero in 2 months. My dad is utterly distressed by this, and frankly, with CKD and all the rest, I'm not so sure that he will be able to cope?
Is this a worrying trajectory for the PSA so far, I know that it isn't zero-ing out as fast as we would have liked, but we have nothing to compare against. What are everyone's thoughts?
Worried Daughter