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  5. My 71-year-old father recently underwent an open radical prostatectomy with lymph node dissection, which revealed a positive node. He received a Luprodex 22.5 mg injection and was prescribed Bicalutamide for 9 months. Should we be worried about the positive node, what are the chances of cancer recurrence, and is this medication plan sufficient for his treatment?

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My 71-year-old father recently underwent an open radical prostatectomy with lymph node dissection, which revealed a positive node. He received a Luprodex 22.5 mg injection and was prescribed Bicalutamide for 9 months. Should we be worried about the positive node, what are the chances of cancer recurrence, and is this medication plan sufficient for his treatment?

Asked by Male, 71 · 11 hours ago

Finding a positive lymph node means the cancer has spread locally, which increases the risk of recurrence. However, this is manageable. The combination of Luprodex and Bicalutamide is a standard and highly effective hormone therapy designed to starve remaining cancer cells of testosterone. This 9-month plan is a strong, appropriate initial treatment. To ensure it is sufficient, his oncologist will closely monitor his PSA levels. Depending on these results, additional therapies like radiation may be considered later. He is on the correct path, but regular oncological follow-ups are crucial.
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Other Related topics like...

  1. Significance of a Positive Lymph Node After Prostatectomy
    A positive lymph node suggests cancer has spread outside the prostate, raising the risk of recurrence.

  2. Risk of Cancer Recurrence with Positive Nodes
    Positive nodes increase recurrence risk, but hormone therapy helps lower it.

  3. Role of Luprodex (Leuprolide) and Bicalutamide
    These hormone therapies suppress testosterone, helping to control cancer growth.

  4. Adequacy of 9-Month Hormone Therapy
    Nine months is a typical duration, but treatment length can vary based on individual risk and response to therapy.

  5. Next Steps and Monitoring
    Regular PSA testing and consistent follow-up with oncology are crucial for ongoing management and adjustment of treatment as needed.

Answered 11 hours ago