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IMRT CONDENSED -4 Months ADT VS SBRT -4 Months ADT
The finding of the ECE after review by MSK increased my cancer to higher risk by my RO's. They are split , one recommending IMRT with 4 months rather than SBRT alone. The other recommending SBRT with 4 months ADT.
RO says their is more long term data with IMRT Condensed (20 treatments)
The finding of the ECE after review by MSK increased my cancer to higher risk by my RO's. They are split , one recommending IMRT with 4 months rather than SBRT alone. The other recommending SBRT with 4 months ADT.
RO says their is more long term data with IMRT Condensed (20 treatments)
JWS13
in
Prostate Cancer Network
2 years ago
Free testosterone
See my profile for more details on history. G9 RP 10/2013, PSA rose again over 2.5 yrs. SRT to prostate bed only. Radiation completed 8/15/16. PSA slowly rising again over the last 6 years. Last quarter PSA jumped from 0.236 to 0.364. No ADT throughout my entire PCA history. My Radiologist has
See my profile for more details on history. G9 RP 10/2013, PSA rose again over 2.5 yrs. SRT to prostate bed only. Radiation completed 8/15/16. PSA slowly rising again over the last 6 years. Last quarter PSA jumped from 0.236 to 0.364. No ADT throughout my entire PCA history. My Radiologist has
bitittle
in
Advanced Prostate Cancer
2 years ago
What first?: Provenge or Nubeqa?
I have not used 2d line AR drugs yet. CRPC just started six months ago. My PSA is below 1. One small, suspected area on last month's PSMA PET scan. That is the same area that looked suspicious on PSMA PET in 2016 and on Axumin in early 2021. I did IADT 2016-2020, with continuous ADT since Jan 2021
I have not used 2d line AR drugs yet. CRPC just started six months ago. My PSA is below 1. One small, suspected area on last month's PSMA PET scan. That is the same area that looked suspicious on PSMA PET in 2016 and on Axumin in early 2021. I did IADT 2016-2020, with continuous ADT since Jan 2021
GeorgeGlass
in
Advanced Prostate Cancer
2 years ago
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Good news or bad news?
Hello my brothers and sisters. Six months into my vacatión from ADT (Zoladex), my PSA has risen from point 13 to point 40. Is this reason to celebrate or to be worried? It is obviously rising, but slowly. My hope is to make it to a year with PSA under 2.
Hello my brothers and sisters. Six months into my vacatión from ADT (Zoladex), my PSA has risen from point 13 to point 40. Is this reason to celebrate or to be worried? It is obviously rising, but slowly. My hope is to make it to a year with PSA under 2.
CountryJoe
in
Advanced Prostate Cancer
2 years ago
Pluvicto / Lu-177 - Do it now or later?
I am a metastatic castration resistant prostate cancer patient having undergone most SOC (RP, SR, docetaxel, ADT, Xtandi, Zytiga, Oliparib) steps. Now, like others, faced with very limited remaining SOC options: another round of the dreaded chemo like docetaxel or Lu-177 / Pluvicto. My mets, based
I am a metastatic castration resistant prostate cancer patient having undergone most SOC (RP, SR, docetaxel, ADT, Xtandi, Zytiga, Oliparib) steps. Now, like others, faced with very limited remaining SOC options: another round of the dreaded chemo like docetaxel or Lu-177 / Pluvicto. My mets, based
GDeG
in
Advanced Prostate Cancer
2 years ago
Are there benefits of ADT Beyond 18 months?
Specifically, for high risk prostate cancer after EBRT plus LD brachytherapy, is there any evidence of benefit of extending ADT beyond 18 months?
Specifically, for high risk prostate cancer after EBRT plus LD brachytherapy, is there any evidence of benefit of extending ADT beyond 18 months?
bigdoggatto
in
Prostate Cancer Network
2 years ago
ADT relief
I exercise often but still wrestle with muscle and joint aches and pains. On a 1 - 10 scale the aches and pains have been magnified 3 - 6X of what they were pre-Lupron. It seems like my low back aches have been consistent 2x-plus since the Lupron Any suggestions on ache and pain relief from adt? Does
I exercise often but still wrestle with muscle and joint aches and pains. On a 1 - 10 scale the aches and pains have been magnified 3 - 6X of what they were pre-Lupron. It seems like my low back aches have been consistent 2x-plus since the Lupron Any suggestions on ache and pain relief from adt? Does
Cyclingrealtor
in
Advanced Prostate Cancer
2 years ago
Is it too late for Triplet Therapy? (4 months on Elligard already.).
Switching to Dr. Dorff from old MO. First appointment on 12/28. Hoping to get Triplet Therapy that old MO basically said no to. That MO also dragged out any treatment beyond initial Elligard injection for two months waiting for a bone biopsy that she ultimately ignored the results of. Anyways, diagnosed
Switching to Dr. Dorff from old MO. First appointment on 12/28. Hoping to get Triplet Therapy that old MO basically said no to. That MO also dragged out any treatment beyond initial Elligard injection for two months waiting for a bone biopsy that she ultimately ignored the results of. Anyways, diagnosed
Gl448
in
Advanced Prostate Cancer
2 years ago
IBS and Hormone treatment for prostate cancer
I have IBS and recently started Hormone treatment for prostate cancer My IBS has been very bad indeed since starting the Hormone treatment. I’m in a lot of pain, stomach cramps and bloating and diarrhoea are the worst I’ve ever had I can’t sleep due to the disco. Has anyone else had this? Any suggestions
I have IBS and recently started Hormone treatment for prostate cancer My IBS has been very bad indeed since starting the Hormone treatment. I’m in a lot of pain, stomach cramps and bloating and diarrhoea are the worst I’ve ever had I can’t sleep due to the disco. Has anyone else had this? Any suggestions
Johnmmz
in
IBS Network
2 years ago
what’s typically after taxotere?
My father did 10 days radiation to lumbar spine and pelvis, is doing ADT (zytiga,Lupron) as well the xgeva. He just did his first round of taxotere last week and we’re gonna get him through the 6 rounds, god willing. What’s typically the next step after chemo? Does he then do immunotherapy? Also,
My father did 10 days radiation to lumbar spine and pelvis, is doing ADT (zytiga,Lupron) as well the xgeva. He just did his first round of taxotere last week and we’re gonna get him through the 6 rounds, god willing. What’s typically the next step after chemo? Does he then do immunotherapy? Also,
Shelboop
in
Advanced Prostate Cancer
2 years ago
ECE and CRIBRIFORM FOUND IN PATH REVIEW OF MSK BIOPSY BY UCSF
I am scheduled for SBRT at UCLA for 1/12/ 2023. However , UCSF did a path review of MSK's Biopsy report, and indicated that UCSF found additionally : 1
. the presence of "expansile cribriform subtype"
2. the "possible identification of extracapsular extension" described below:
I am scheduled for SBRT at UCLA for 1/12/ 2023. However , UCSF did a path review of MSK's Biopsy report, and indicated that UCSF found additionally : 1
. the presence of "expansile cribriform subtype"
2. the "possible identification of extracapsular extension" described below:
JWS13
in
Prostate Cancer Network
2 years ago
Any ideas on blood labs to monitor for earlier detection than PSA for becoming Castrate Resistant?
I am trying to get an idea of better test labs markers besides just the usual PSA for becoming castrat resistant, because if my SOC of ADT (Orgovyx, and Nubeqa) is starting to fail I would want to immediately jump on BAT. My doc always adds LDH. Conclusion: Our analysis suggested the association
I am trying to get an idea of better test labs markers besides just the usual PSA for becoming castrat resistant, because if my SOC of ADT (Orgovyx, and Nubeqa) is starting to fail I would want to immediately jump on BAT. My doc always adds LDH. Conclusion: Our analysis suggested the association
KocoPr
in
Advanced Prostate Cancer
2 years ago
Next Steps?
History: Male 60 yo; diagnosed 2017 with Prostate Cancer PSA 172; Gleason 9. Prostatectomy May 2018; Radiation April-June 2019; Chemotherapy August-December 2019. Was on Firmagon (monthly) and bicalutamide until April 2021 when oncologist suggested I go off it as my PSA was undetectable. Bloodwork every
History: Male 60 yo; diagnosed 2017 with Prostate Cancer PSA 172; Gleason 9. Prostatectomy May 2018; Radiation April-June 2019; Chemotherapy August-December 2019. Was on Firmagon (monthly) and bicalutamide until April 2021 when oncologist suggested I go off it as my PSA was undetectable. Bloodwork every
OldChappy
in
Advanced Prostate Cancer
2 years ago
2 years post op for catamenial pneumothoraces and on Yasmin, getting pains again. Anyone else?
2 years ago my daughter experienced numerous spontaneous pneumothoraxes(at least 7 in a 4 month period, then 5 more while in hospital during a 3 week stay) at the very beginning of puberty aged 14. At 15 after a right side pleurectomy the pneumothoraxes stopped though the pains continued until she was
2 years ago my daughter experienced numerous spontaneous pneumothoraxes(at least 7 in a 4 month period, then 5 more while in hospital during a 3 week stay) at the very beginning of puberty aged 14. At 15 after a right side pleurectomy the pneumothoraxes stopped though the pains continued until she was
Cloud9ine
in
Endometriosis UK
2 years ago
Alarming visit with Oncologist. How do we handle this? Another extremely time sensitive situation we were thrown into
Hi all, So my father has a urologist, Radiologist & oncologist. Father started Firmagon Injections on Nov 10th and radiation Dec 12th (yesterday). 1. Urologist started him on firmagon on Nov 10th to prevent spread while awaiting further treatment. It seems to have worked.. CT Scan update today was
Hi all, So my father has a urologist, Radiologist & oncologist. Father started Firmagon Injections on Nov 10th and radiation Dec 12th (yesterday). 1. Urologist started him on firmagon on Nov 10th to prevent spread while awaiting further treatment. It seems to have worked.. CT Scan update today was
FormulaRob
in
Advanced Prostate Cancer
2 years ago
moderate hypofraction RT
how many oncologists and treatment centres are moving away from the standard of 6-8 weeks of RT to 4 weeks of moderate Hypofraction or even hypofaction? In all stages and Gleason scores of locally contained PSMA clear N and M ? Seems equivalence is beginning to be the consensus especially with the
how many oncologists and treatment centres are moving away from the standard of 6-8 weeks of RT to 4 weeks of moderate Hypofraction or even hypofaction? In all stages and Gleason scores of locally contained PSMA clear N and M ? Seems equivalence is beginning to be the consensus especially with the
SimMartin
in
Prostate Cancer Network
2 years ago
18 Month Update
Brief Summary Gleason 4+5 with Intraductal histology T3b n1 Brca2. After 18 months of ADT plus Abiraterone and HDR Brachytherapy and EBRT my WBC is within normal limits for the first time since HDR Brachytherapy. My PSA started at 10.28 and decreased 95% the first month of ADT and slowly after that
Brief Summary Gleason 4+5 with Intraductal histology T3b n1 Brca2. After 18 months of ADT plus Abiraterone and HDR Brachytherapy and EBRT my WBC is within normal limits for the first time since HDR Brachytherapy. My PSA started at 10.28 and decreased 95% the first month of ADT and slowly after that
TylexGP
in
Advanced Prostate Cancer
2 years ago
benefit of taking a break from Lupron and using darolutamide alone?
1st diagnosed 2003. RP and psa increase 2005. Radiation and then intermittent till 9/2021. Darolutamide added 3/2022. Present psa .3. Would there be a benefit to forgoing Lupron and using Darolutamide as primary, allowing testosterone to recover and taking a break once it does to allow body to recover
1st diagnosed 2003. RP and psa increase 2005. Radiation and then intermittent till 9/2021. Darolutamide added 3/2022. Present psa .3. Would there be a benefit to forgoing Lupron and using Darolutamide as primary, allowing testosterone to recover and taking a break once it does to allow body to recover
Rob1053
in
Advanced Prostate Cancer
2 years ago
Father, 55yrs, diagnosed with prostate cancer
In August 2022 my father was having slight pain in lower back since 2 months, when MRI spine was done later it showed mets , PSMA PET showed positive lymph nodes in pelvic area and skeletal lesions. And PSA was 380.He had undergone BL orchiedctomy and biopsy 3 days after pet scan and biopsy revealed
In August 2022 my father was having slight pain in lower back since 2 months, when MRI spine was done later it showed mets , PSMA PET showed positive lymph nodes in pelvic area and skeletal lesions. And PSA was 380.He had undergone BL orchiedctomy and biopsy 3 days after pet scan and biopsy revealed
Helllfire
in
Advanced Prostate Cancer
2 years ago
going off hormone therapy
When I started hormone therapy about a year and a half ago (zytiga and firmagon) I started losing weight despite eating like a horse. In researching hormone therapy., There was a nature article saying hormone therapy has a side effect of muscle loss. I started out at 185 and now I am down to 130. as
When I started hormone therapy about a year and a half ago (zytiga and firmagon) I started losing weight despite eating like a horse. In researching hormone therapy., There was a nature article saying hormone therapy has a side effect of muscle loss. I started out at 185 and now I am down to 130. as
carguy1000
in
Advanced Prostate Cancer
2 years ago
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