Advanced prostate cancer treatment options.

There I was, a happy, healthy, fit 58 year old. A trip to the doctors for a minor water works problem soon escalated to a diagnosis of advanced prostate cancer.

Eight weeks, a course of Bicalutamide, an injection of Decapeptyl later and it's now time to make a decision about my treatment, a decision that I don't feel qualified to take.

Option 1 is Docetaxel chemotherapy with Darolutamide followed by radiotherapy.

Option 2 is Apalutamide with radiotherapy.  All of my research suggests that the chemotherapy is the standard way to proceed but my consultant oncologist strongly suggested that the Apalutamide, with radiotherapy but without chemotherapy was a preferable option.

Has anyone had any experience of this the Apalutamide without chemotherapy as a first treatment?

Thanks. 

Parents
  • My husband was diagnosed over 6 years ago but opted for surgery and had his prostate removed and has been fine ever since 

    we were confused about making a decision about treatment but feel we made the right choice 

    good luck with what you choose I hope all goes well for you x

Reply
  • My husband was diagnosed over 6 years ago but opted for surgery and had his prostate removed and has been fine ever since 

    we were confused about making a decision about treatment but feel we made the right choice 

    good luck with what you choose I hope all goes well for you x

Children