Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
142 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Are Lupron And Flutamide An Effective Alternative Hormonal Treatment For Prostate Cancer, Rising PSA And Bone Metastases After Refusing Orchiectomy?

The patient is a 55-year-old male with adenocarcinoma of the prostate. He had a TURP 1 year ago for presumed prostatic hyperplasia, but tissue fragments examined by a pathologist revealed a poorly differentiated adenocarcinoma. He received local irradiation to the prostate; however, PSA levels increased to 10 (normal is less than 4). A bone scan showed bony metastases. Bilateral orchiectomy was advised, but refused. Alternative hormonal treatment with Lupron and flutamide to decrease testosterone production will be offered.
posted on Tue, 1 Aug 2023
Twitter Sat, 20 Sep 2025 Answered on
Twitter Tue, 30 Sep 2025 Last reviewed on
Report Abuse
Oncologist,  's  Response
Hello,

The patient requires a pet CT for evaluation of metastatic disease if any, followed by some form of systemic therapy in the form of androgen receptor blockade therapy or chemotherapy. Many patients survive for longer periods of time with complete evaluation and chemotherapy.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Deepak Sundriyal, Oncologist
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Are Lupron And Flutamide An Effective Alternative Hormonal Treatment For Prostate Cancer, Rising PSA And Bone Metastases After Refusing Orchiectomy?

Hello, The patient requires a pet CT for evaluation of metastatic disease if any, followed by some form of systemic therapy in the form of androgen receptor blockade therapy or chemotherapy. Many patients survive for longer periods of time with complete evaluation and chemotherapy. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Deepak Sundriyal, Oncologist