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Rising PSA
I have been a reader for a few months and decided to join the conversation. I listed details in my profile so will give a short summary here. RP May 2019. Post ADT and IMRT PSA rise from undetectable last September to 2.1 last month. At my request, urologist and RO are referring me to UCLA for PSMA
I have been a reader for a few months and decided to join the conversation. I listed details in my profile so will give a short summary here. RP May 2019. Post ADT and IMRT PSA rise from undetectable last September to 2.1 last month. At my request, urologist and RO are referring me to UCLA for PSMA
Dentilator
in
Advanced Prostate Cancer
3 years ago
RT and ADT for High Risk PCa
In Apr 2018 I was diagnosed with PCa Gleason 5+5 and PSA of 250. PSMA Pet Scan showed tumour only in Prostrate with one ECE and Seminal Vesicles involvement. There were no Nodes visible and no mets. I immediately was put on Firmagon in June 2018. This was followed in Nov/Dec 18 with 44 sessions of 78
In Apr 2018 I was diagnosed with PCa Gleason 5+5 and PSA of 250. PSMA Pet Scan showed tumour only in Prostrate with one ECE and Seminal Vesicles involvement. There were no Nodes visible and no mets. I immediately was put on Firmagon in June 2018. This was followed in Nov/Dec 18 with 44 sessions of 78
binati
in
Prostate Cancer Network
3 years ago
PSA Time to Nadir
I'm 54, had RARP and IMRT, and am on the Eligard/Abiraterone regimen. My PSA has decreased from 340 to 0.63 over eight months. I've noticed that some people tend to have an immediate drop. Does the time to nadir indicate how long you will stay at this point before failure? I thought I had seen a
I'm 54, had RARP and IMRT, and am on the Eligard/Abiraterone regimen. My PSA has decreased from 340 to 0.63 over eight months. I've noticed that some people tend to have an immediate drop. Does the time to nadir indicate how long you will stay at this point before failure? I thought I had seen a
OhioGuy2
in
Advanced Prostate Cancer
3 years ago
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When does rising PSA require further treatment.
2010 robotic prostatectomy at City of Hope, 2018 IMRT 3 months ADT at Johns Hopkins. Last 6 PSA tests at 6 month intervals: .03, .04, .04, .05, .02 and last .05. If PSA continues to rise, when is further treatment recommended?
2010 robotic prostatectomy at City of Hope, 2018 IMRT 3 months ADT at Johns Hopkins. Last 6 PSA tests at 6 month intervals: .03, .04, .04, .05, .02 and last .05. If PSA continues to rise, when is further treatment recommended?
Coupe31
in
Advanced Prostate Cancer
3 years ago
Ductal PCA - Avoid T.U.R.P. and Self Cath
I have serious pissing problems with this cancer and after DX last fall, a TURP was done in December. From that sample, pathology determined this beast to be a Ductal PCA, a very aggressive cancer. Pissing problems returned in March, and the answer was to perform another TURP. Radiation Doc
I have serious pissing problems with this cancer and after DX last fall, a TURP was done in December. From that sample, pathology determined this beast to be a Ductal PCA, a very aggressive cancer. Pissing problems returned in March, and the answer was to perform another TURP. Radiation Doc
DMohr011
in
Advanced Prostate Cancer
3 years ago
New to the prostate cancer community
I am 76 years old and recently diagnosed with prostate cancer. A rise in PSA from 5.4 to 7.4 plus a bump felt on my prostate led to an MRI scan. That showed a 2.5x2 cm PIRADS 5 area on right side and smaller PIRADS 3 on the left. A biopsy with 20 samples, 12 random and 4 each of the two areas found
I am 76 years old and recently diagnosed with prostate cancer. A rise in PSA from 5.4 to 7.4 plus a bump felt on my prostate led to an MRI scan. That showed a 2.5x2 cm PIRADS 5 area on right side and smaller PIRADS 3 on the left. A biopsy with 20 samples, 12 random and 4 each of the two areas found
bigdoggatto
in
Prostate Cancer Network
3 years ago
Hmm... So in 2/20 my RO says I'm "cured", however, my MO butts in and declares...not so fast Bozo!!
After HDR Brachy and 25 days of IMRT (2019), RO does a brief DRE, looks me in the eye and states " you are not going to die from APC"! GREAT!! No more Lupron and I can taper off Z and P!! Well, MO reminds me that I still meet 2/3 of the Stampede Trial criteria (G9 and PSA>20. My high was 28) and he
After HDR Brachy and 25 days of IMRT (2019), RO does a brief DRE, looks me in the eye and states " you are not going to die from APC"! GREAT!! No more Lupron and I can taper off Z and P!! Well, MO reminds me that I still meet 2/3 of the Stampede Trial criteria (G9 and PSA>20. My high was 28) and he
westof
in
Advanced Prostate Cancer
3 years ago
Insomnia and Heart Palpitations With Clenil Modulite 100
I've been given a trial of Clenil Modulite 100, 2 puffs twice a day. After the second dose on the first day of taking it, that night my heart was thumping so hard it felt like my chest was about to burst, I got so anxious and hardly slept. Awful! I reduced to one puff once a day and my breathlessness
I've been given a trial of Clenil Modulite 100, 2 puffs twice a day. After the second dose on the first day of taking it, that night my heart was thumping so hard it felt like my chest was about to burst, I got so anxious and hardly slept. Awful! I reduced to one puff once a day and my breathlessness
Girlygo
in
Asthma Community Forum
3 years ago
Change in PSA testing method
Previous testing was centaur chemilumisometric immunoassay with PSA of 0.31. Fifteen weeks later, the new method is ECLIA with PSA of 0.63. I'm been tracking the failure of RP and IMRT with rising PSA and plan to independently schedule PSMA in Europe. My UO has me waiting, doing nothing. What does
Previous testing was centaur chemilumisometric immunoassay with PSA of 0.31. Fifteen weeks later, the new method is ECLIA with PSA of 0.63. I'm been tracking the failure of RP and IMRT with rising PSA and plan to independently schedule PSMA in Europe. My UO has me waiting, doing nothing. What does
SoonerMark
in
Advanced Prostate Cancer
3 years ago
Trimodal Therapy
G9, PSA13 no met. Tolerating Zoladex ok. Start IMRT July to include pelvis and lymph nodes. Followed by LD brachy based on confirmatory TRUS. I can see no advantage to SBRT over IMRT? Clinic does not do MRI !! (Canada healthcare system). I will get privately and provide for OAR boundary definition. Dr
G9, PSA13 no met. Tolerating Zoladex ok. Start IMRT July to include pelvis and lymph nodes. Followed by LD brachy based on confirmatory TRUS. I can see no advantage to SBRT over IMRT? Clinic does not do MRI !! (Canada healthcare system). I will get privately and provide for OAR boundary definition. Dr
Qiviut
in
Advanced Prostate Cancer
3 years ago
Starting Fostair 100/6 - Anyone had an experience with this?
Hi all, I haven’t had my asthma well managed for a while and as someone who loves to exercise and play football it’s not great. In the summer i took Clenil Modulite and didn’t seem to help just made my lungs feel worse. I’ve just been prescribed fostair and directed to take two puffs twice a day. I’ve
Hi all, I haven’t had my asthma well managed for a while and as someone who loves to exercise and play football it’s not great. In the summer i took Clenil Modulite and didn’t seem to help just made my lungs feel worse. I’ve just been prescribed fostair and directed to take two puffs twice a day. I’ve
Foskr
in
Asthma Community Forum
3 years ago
Advise please
Hi everyone, im a nubey with this asthma thing, at 62 i didnt even know you could get adult asthma🤔 i am taking clenil modulite 200 2 puffs twice daily, is there a good time morning and night to take them because im never sure how long the relief surposed to lasts for.
Hi everyone, im a nubey with this asthma thing, at 62 i didnt even know you could get adult asthma🤔 i am taking clenil modulite 200 2 puffs twice daily, is there a good time morning and night to take them because im never sure how long the relief surposed to lasts for.
Tedi2
in
Asthma Community Forum
3 years ago
Rising PSA post IMRT and ADT
It's my understanding that an increase in PSA post radiation is an indicator of recurrence. The PSA "cut score" is 2.0. Anyone know why 2.0 is considered a recurrence metric? Typically, what happens next? Treatment options? Indicators of success? Many thanks, EdinBaltimore
It's my understanding that an increase in PSA post radiation is an indicator of recurrence. The PSA "cut score" is 2.0. Anyone know why 2.0 is considered a recurrence metric? Typically, what happens next? Treatment options? Indicators of success? Many thanks, EdinBaltimore
EdinBmore
in
Prostate Cancer And Gay Men
3 years ago
Swedish Radiosurgery Center in Seattle, WA.
Considering SBRT vs IMRT. Is the Space OAR beneficial? Toxicity pros and cons for either technology?
Considering SBRT vs IMRT. Is the Space OAR beneficial? Toxicity pros and cons for either technology?
Qiviut
in
Advanced Prostate Cancer
3 years ago
Thank you!
I want to thank the members of this group, especially Tall_Allen, for the advice and support I've received the last couple of years. After a failed trial of HIFU, with a resultant steady increase in my PSA, I had another biopsy done June of last year. The report was 8x 3+4, 1x 4+3, and 1x 4+4 out of
I want to thank the members of this group, especially Tall_Allen, for the advice and support I've received the last couple of years. After a failed trial of HIFU, with a resultant steady increase in my PSA, I had another biopsy done June of last year. The report was 8x 3+4, 1x 4+3, and 1x 4+4 out of
Smallfall
in
Prostate Cancer Network
3 years ago
Any benefit to RP given likely extracapsular extension
My 70 year old father is currently on ADT since March after gleason 9 diagnosis, awaiting IMRT likely starting in June (details in profile). His MRI tests came back showing extracapsular extension and large tumor volume, with likely extension into nearby lymph nodes and seminal vesicles and abutting
My 70 year old father is currently on ADT since March after gleason 9 diagnosis, awaiting IMRT likely starting in June (details in profile). His MRI tests came back showing extracapsular extension and large tumor volume, with likely extension into nearby lymph nodes and seminal vesicles and abutting
mooman80
in
Advanced Prostate Cancer
3 years ago
PRD after IMRT?
Has anyone here developed PRD after intensity-modulated RT given in the last few years? I am wondering if the incidence is truly sharply lower with the more refined RT of recent use
Has anyone here developed PRD after intensity-modulated RT given in the last few years? I am wondering if the incidence is truly sharply lower with the more refined RT of recent use
Rainylake
in
Pelvic Radiation Disease Association
3 years ago
ADT + SBRT + IMRT treatment for Unfavorable Intermediate Risk PCa
Tall_Allen, This is a follow up to a previous threat I started regarding my path to treatment. I followed your prompt to talk to Dr. Gottschalk at UCSF, and I’m glad I did. Our conversation did change things. He recommends SBRT/IMRT & 4 months ADT! He will do SBRT, and IMRT will be done by Dr. Valicenti
Tall_Allen, This is a follow up to a previous threat I started regarding my path to treatment. I followed your prompt to talk to Dr. Gottschalk at UCSF, and I’m glad I did. Our conversation did change things. He recommends SBRT/IMRT & 4 months ADT! He will do SBRT, and IMRT will be done by Dr. Valicenti
jimalong51
in
Prostate Cancer Network
3 years ago
why can't he stay on casodex forever and ever amen!?
hey guys, it's been awhile since i checked in. we've been dealing w/some personal family stuff, and i've been trying to stay offline to keep myself sane. hope you're all hanging in there. could really use some guidance if anyone is around & familiar w/casodex long term etc. here's our unusual situation
hey guys, it's been awhile since i checked in. we've been dealing w/some personal family stuff, and i've been trying to stay offline to keep myself sane. hope you're all hanging in there. could really use some guidance if anyone is around & familiar w/casodex long term etc. here's our unusual situation
pwallace
in
Advanced Prostate Cancer
3 years ago
Proton Radiation to Thoracic Vertebra
I seem to have a recurrence after 2006 seeds and IMRT. After an Axumin scan, rhPSMA scan, and whole-body mpMRI, the only spot found is on the left pedicle (a small bone off the back of the vertebra) of the T8 vertebra. I am completely asymptomatic. My RO does both SBRT and Proton. I told him I felt the
I seem to have a recurrence after 2006 seeds and IMRT. After an Axumin scan, rhPSMA scan, and whole-body mpMRI, the only spot found is on the left pedicle (a small bone off the back of the vertebra) of the T8 vertebra. I am completely asymptomatic. My RO does both SBRT and Proton. I told him I felt the
LeeLiam
in
Advanced Prostate Cancer
3 years ago
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