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Advanced PCa & Kidney Disease
I'm getting a CT scan soon to follow up on my ADT failure. They are concerned that there may be sign of kidney disease. It seems like it's relatively common in PCa warriors, so I'm presuming people have experience. I just checked on the kidney disease symptoms and I seem to have most of them. My onco
I'm getting a CT scan soon to follow up on my ADT failure. They are concerned that there may be sign of kidney disease. It seems like it's relatively common in PCa warriors, so I'm presuming people have experience. I just checked on the kidney disease symptoms and I seem to have most of them. My onco
CrocodileShoes
in
Advanced Prostate Cancer
2 years ago
BCR but Neg PSMA scan, ? appropriate next step
Review of my clinical Hx: 68 y.o. good health. Pre-op PSA 31. Robotic RP and pelvic lymph node dissection 7/2019 (only two lymph nodes removed). Gleason 9 (4+5) Mixed acinar with extensive ductal features. T3a N0MO with 2 ECE no SV involvement. Margins negative. Color genetic testing + for NBN gene
Review of my clinical Hx: 68 y.o. good health. Pre-op PSA 31. Robotic RP and pelvic lymph node dissection 7/2019 (only two lymph nodes removed). Gleason 9 (4+5) Mixed acinar with extensive ductal features. T3a N0MO with 2 ECE no SV involvement. Margins negative. Color genetic testing + for NBN gene
FlyJ
in
Advanced Prostate Cancer
2 years ago
Should i include docetaxel with lupron +darolutamide.
My PSA =15 naïve ADT. Had RP, and RT. 5 lymph node locations 3 in pelvic 1 in chest 1 in clavicle. Ive read the trial results but they don’t include ADT+darolutamide with docetaxel. Im 64 and healthy with no symptoms. I was thinking in lieu of chemo, I could include a 5aReductase inhibitor RAD-140
My PSA =15 naïve ADT. Had RP, and RT. 5 lymph node locations 3 in pelvic 1 in chest 1 in clavicle. Ive read the trial results but they don’t include ADT+darolutamide with docetaxel. Im 64 and healthy with no symptoms. I was thinking in lieu of chemo, I could include a 5aReductase inhibitor RAD-140
KocoPr
in
Advanced Prostate Cancer
2 years ago
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Wondering which arm of STAMPEDE dictated my 18 to 16 month ADT plus Zytiga treatment plan ?
I have “ low metastatic load “ based on a clean PSMA -PET scan but I am high risk based on PSA 61 ( I was Gleason 6 on only biopsy in 2009 ) and “ probable” seminal vesicle EPE . Taking Avodart for ten years and doing many lifestyle changes per Snuffy Meyers kept my PSA low for a decade but when I
I have “ low metastatic load “ based on a clean PSMA -PET scan but I am high risk based on PSA 61 ( I was Gleason 6 on only biopsy in 2009 ) and “ probable” seminal vesicle EPE . Taking Avodart for ten years and doing many lifestyle changes per Snuffy Meyers kept my PSA low for a decade but when I
PBnative
in
Advanced Prostate Cancer
2 years ago
Lycopene, Heat, Magnets
I learned of my prostate cancer metastasis about ten years ago in 2012, which was four years after radiation therapy to my prostate in 2008, following a urinary blockage and biopsy Gleason 8. I chose RT over surgical as my mets were microscopic, confined to prostate. The discovery of Stage 4 was after
I learned of my prostate cancer metastasis about ten years ago in 2012, which was four years after radiation therapy to my prostate in 2008, following a urinary blockage and biopsy Gleason 8. I chose RT over surgical as my mets were microscopic, confined to prostate. The discovery of Stage 4 was after
NecessarilySo
in
Advanced Prostate Cancer
2 years ago
Stampede Trial: Arm H
So the Stampede Trial is one of the largest Trials with 10,000 Men, mostly from the UK, Switzerland, and Canada. It started over 10 years ago. It has many Arms which try different combinations. Arm A,B,C,etc.. Arm H found significant improvement by adding SBRT/SABR to Primary Prostate gland in addition
So the Stampede Trial is one of the largest Trials with 10,000 Men, mostly from the UK, Switzerland, and Canada. It started over 10 years ago. It has many Arms which try different combinations. Arm A,B,C,etc.. Arm H found significant improvement by adding SBRT/SABR to Primary Prostate gland in addition
Spyder54
in
Advanced Prostate Cancer
2 years ago
Any association between rising PSA and falling T during BCR?
To recap briefly - 65YO, G9 PCa, RP in '16 followed by RT/ADT. BCR in '18...detected in pelvic LNs via PSMA clinical trial. Then RT to that region and 18 months of ADT. No treatment since that ended June '20. Undetectable PSA from Jan '19 thru Oct '21. PSA creeping up from 0.03 in Oct '21 to 0.20 in
To recap briefly - 65YO, G9 PCa, RP in '16 followed by RT/ADT. BCR in '18...detected in pelvic LNs via PSMA clinical trial. Then RT to that region and 18 months of ADT. No treatment since that ended June '20. Undetectable PSA from Jan '19 thru Oct '21. PSA creeping up from 0.03 in Oct '21 to 0.20 in
shueswim
in
Advanced Prostate Cancer
2 years ago
Preventing Drug Resistance - Thinking Outside The Box - PRINT Phase 2 Study
One of the biggest challenges of PCa treatment is eventual drug resistance. I've been thinking that maybe Oncologists may have their thinking locked in a box. This is understandable as most take a conservative approach probably, recommending what is "tried and true." So to speak. So I was thinking,
One of the biggest challenges of PCa treatment is eventual drug resistance. I've been thinking that maybe Oncologists may have their thinking locked in a box. This is understandable as most take a conservative approach probably, recommending what is "tried and true." So to speak. So I was thinking,
jazj
in
Advanced Prostate Cancer
2 years ago
PSA now at 15 time to start a treatment but don’t know which drugs.
It is time to beat the beast once and for all. I had RP and EBRT 2015 now PSA is climbing pretty quickly. PSA Trend 05/17/2022: 15.2 04/14/2022:13.45 03/09/2022: 13.3 02/09/2022: 10.3 01/12/2022: 8.4 12/01/2021: 8.93 09/15/2021: 3.6 07/21/2021: 3.08 06/21/2021: 2.4 03/23/2021: 1.8 02/25/2021
It is time to beat the beast once and for all. I had RP and EBRT 2015 now PSA is climbing pretty quickly. PSA Trend 05/17/2022: 15.2 04/14/2022:13.45 03/09/2022: 13.3 02/09/2022: 10.3 01/12/2022: 8.4 12/01/2021: 8.93 09/15/2021: 3.6 07/21/2021: 3.08 06/21/2021: 2.4 03/23/2021: 1.8 02/25/2021
KocoPr
in
Prostate Cancer Network
2 years ago
High intratumoral dihydrotestosterone is associated with antiandrogen resistance in VCaP prostate cancer xenografts in castrated mice
A new Finnish-Swedish paper (with no mention of NATO) [1] Dr. Myers has said that the purpose of ADT is to deny PCa access to dihydrotestosterone [DHT]. A minority of men produce DHT via the alternative pathway that does not involve testosterone [T]. Myers was one of the few doctors who checked DHT
A new Finnish-Swedish paper (with no mention of NATO) [1] Dr. Myers has said that the purpose of ADT is to deny PCa access to dihydrotestosterone [DHT]. A minority of men produce DHT via the alternative pathway that does not involve testosterone [T]. Myers was one of the few doctors who checked DHT
pjoshea13
in
Advanced Prostate Cancer
2 years ago
ADT, HDR Brachy, EBRT, Zytiga
Looking for input from this great community. I’m a high risk PC 72 yo. I’ve been on ADT since April 1. Getting HDR BT this Tuesday from Dr. Wong at UCSF. Expect to start EBRT two weeks after. Told by Dr. Wong that Zytiga for two years is likely warranted. He will refer me to MO for that. I’d be very
Looking for input from this great community. I’m a high risk PC 72 yo. I’ve been on ADT since April 1. Getting HDR BT this Tuesday from Dr. Wong at UCSF. Expect to start EBRT two weeks after. Told by Dr. Wong that Zytiga for two years is likely warranted. He will refer me to MO for that. I’d be very
WaterRat14
in
Prostate Cancer Network
2 years ago
Duration of ADT
Just for a quick re cap, diagnosed December 2020. RP January 2021 with Gleason 4+3, extra-prostatic extension, 1 node pos T3aN1. Started ADT and abiraterone then 4m later pelvic RT. PSA still undetectable and Testosterone <2. The original plan was for 2 years of ADT and AA. At ESMO 2021 Dr
Just for a quick re cap, diagnosed December 2020. RP January 2021 with Gleason 4+3, extra-prostatic extension, 1 node pos T3aN1. Started ADT and abiraterone then 4m later pelvic RT. PSA still undetectable and Testosterone <2. The original plan was for 2 years of ADT and AA. At ESMO 2021 Dr
hg115pb
in
Advanced Prostate Cancer
2 years ago
PSA jump after 2weeks post-RALP - does this indicate CRPC?
Hi all. This situation is a bit abnormal, but wanted to gather some thoughts. My father was DX'ed last September with Gleason 4+4, tertiary 5. He had his RALP + PLND 2 weeks ago. Pathology showed ECE+, PNI+, SVI+, LVI-, 2/16 small LN mets (unfortunately, poorer than what imaging showed), and close PSM
Hi all. This situation is a bit abnormal, but wanted to gather some thoughts. My father was DX'ed last September with Gleason 4+4, tertiary 5. He had his RALP + PLND 2 weeks ago. Pathology showed ECE+, PNI+, SVI+, LVI-, 2/16 small LN mets (unfortunately, poorer than what imaging showed), and close PSM
sixmongoos
in
Advanced Prostate Cancer
2 years ago
Start of 36 mo of ADT?
I started on 36 months of ADT in Feb 2020 (Neoadjuvant) followed by 44 sessions of IMRT from May 2020 to July 2020 with Continuous ADT from Feb to now. When does the 36 months start from? From the first injection in Feb or from the finish of IMRT in July. I’ve found conflicting answers on line.
I started on 36 months of ADT in Feb 2020 (Neoadjuvant) followed by 44 sessions of IMRT from May 2020 to July 2020 with Continuous ADT from Feb to now. When does the 36 months start from? From the first injection in Feb or from the finish of IMRT in July. I’ve found conflicting answers on line.
Dracus
in
Prostate Cancer Network
2 years ago
Resistance bands for weight bearing exercise
Anyone using resistance bands in lieu of weights for weight bearing exercise? If so which kind? Any links to YouTube for training programs to prevent ADT muscle waste would be helpful. Thanks
Anyone using resistance bands in lieu of weights for weight bearing exercise? If so which kind? Any links to YouTube for training programs to prevent ADT muscle waste would be helpful. Thanks
Calhoun113
in
Advanced Prostate Cancer
2 years ago
Metastasized prostate cancer found in my lymph system after 8 years. Sneaky crap is NOT going to win!
Finished 45 radiation treatments, followed by hormone therapy for stage 4 prostate cancer, ending in February 2012. Was diagnosed with metastasized stage 4 in my lymph glands on November 29, 2021. Refusing chemo. Accepting Hormone shots and holding off on Xtandi for now. (Net monthly cost is well over
Finished 45 radiation treatments, followed by hormone therapy for stage 4 prostate cancer, ending in February 2012. Was diagnosed with metastasized stage 4 in my lymph glands on November 29, 2021. Refusing chemo. Accepting Hormone shots and holding off on Xtandi for now. (Net monthly cost is well over
Old90
in
Advanced Prostate Cancer
2 years ago
ADT Vacation - Update 3
Well, I finally had my PSMA scan this week and met with my MO. The scan showed a small met on my pelvic bone very near to the met or a part of the met that was previously radiated but possibly outside the radiation field. Besides that I’m clear. Pending a consultation with my RO we are thinking/hoping
Well, I finally had my PSMA scan this week and met with my MO. The scan showed a small met on my pelvic bone very near to the met or a part of the met that was previously radiated but possibly outside the radiation field. Besides that I’m clear. Pending a consultation with my RO we are thinking/hoping
fireandice123
in
Advanced Prostate Cancer
2 years ago
Overview of ADT.
A nice overview from the government. For many of us not a lot new here but speaking for myself, I would have learned a lot very rapidly if I had read this 4 years ago (right after diagnosis). Hormone Therapy for Prostate Cancer Fact Sheet - NCI https://www.cancer.gov/types/prostate/prostate-hormone-therapy-fact-sheet
A nice overview from the government. For many of us not a lot new here but speaking for myself, I would have learned a lot very rapidly if I had read this 4 years ago (right after diagnosis). Hormone Therapy for Prostate Cancer Fact Sheet - NCI https://www.cancer.gov/types/prostate/prostate-hormone-therapy-fact-sheet
Hidden
in
Advanced Prostate Cancer
2 years ago
Why I Choose an Unproven Treatment
It is a rainy stormy day in Perth, Western Australia, called the "most remote city in the world". I arrived here yesterday with more than 30 hours of travel from Oregon USA. Tomorrow I will get my first infusion of Lutetium 177-PSMA (mAb)-J591. An experimental and unproven new form of radioactive ligand
It is a rainy stormy day in Perth, Western Australia, called the "most remote city in the world". I arrived here yesterday with more than 30 hours of travel from Oregon USA. Tomorrow I will get my first infusion of Lutetium 177-PSMA (mAb)-J591. An experimental and unproven new form of radioactive ligand
MateoBeach
in
Fight Prostate Cancer
2 years ago
Why I Choose an Unproven Treatment
It is a rainy stormy day in Perth, Western Australia, called the "most remote city in the world". I arrived here yesterday with more than 30 hours of travel from Oregon USA. Tomorrow I will get my first infusion of Lutetium 177-PSMA (mAb)-J591. An experimental and unproven new form of radioactive ligand
It is a rainy stormy day in Perth, Western Australia, called the "most remote city in the world". I arrived here yesterday with more than 30 hours of travel from Oregon USA. Tomorrow I will get my first infusion of Lutetium 177-PSMA (mAb)-J591. An experimental and unproven new form of radioactive ligand
MateoBeach
in
Advanced Prostate Cancer
2 years ago
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