From Phase I to Phase 4

I was diagnosed with prostate cancer in January of 2020. Unfortunately, my Gleason score was a 9 (indicates an aggressive cancer). I opted for radiation, lupron, and radiation seed implants, rather than surgery. The good news is the only side effects I had from all of this was weight gain (25 pounds) and partial ED.

This kept my cancer in check for about five years, until a PSMA Pet scan in June of 2025 showed that the cancer had come out of remission and spread to my lungs. This is unusual, as it usually spreads to your lymph nodes or bones, but it's not unheard of. The bad new is that the lungs are a bad place for it to spread.

So, in Sept of 2025 I had lung surgery to remove 10 cancerous nodules and they had to remove 20% of my left lung to do so. As you can imagine, that was a fun time surgery!

I then started a combination of Lupron injections (again), Prednisone, and Abiraterone (which is relatively new and involves taking 4 250 mg tablets daily). It's a very powerful drug and is given in the hopes of being able to put off chemotherapy for a couple of years.

I recovered from the lung surgery with no problems (I'm 77 but have worked out a lot for many years and am in pretty good shape). So far, virtually no symptoms from any of the drugs.

Just had my first chest CAT scan, which will be the indicator of whether or not the Abiraterone is keeping the cancer in check. If it hasn't, I'm not sure yet what the next steps will be, but Pluvicto has been mentioned several times by my doctors.

Throughout all of this, I've actually felt pretty good. I've continued to work out hard and. I don't look sick and don't feel sick, but I know this will eventually change as the cancer progresses. I'm hoping that's still a few years away.

I hope the rest of you are doing well and I sincerely hope you can avoid going stage 4.