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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
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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
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
Clenil modulite 100mg
Just wondering if anyone can tell if
Clenil
modulite
isn't helping, as I wake up with tight chest every morning. What should I do about it or suggestions
Just wondering if anyone can tell if
Clenil
modulite
isn't helping, as I wake up with tight chest every morning. What should I do about it or suggestions
Claire-12_12
in
Asthma Community Forum
4 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
Pneumonia or Thyroid?
I have also had well controlled asthma since childhood, and have taken
Clenil
Modulite
inhaler for many years, until it was recently changed to Fostair, during an infection.
I have also had well controlled asthma since childhood, and have taken
Clenil
Modulite
inhaler for many years, until it was recently changed to Fostair, during an infection.
Ed2000
in
Thyroid UK
4 years ago
Using an Inhaler with cardio issues
I was issued with both a Seebri Breezhaler & a
Clenil
Modulite
inhaler. Had to stop the Seebri because the powder irritated my throat somewhat but continued with the Clenil up to a couple of months ago.
I was issued with both a Seebri Breezhaler & a
Clenil
Modulite
inhaler. Had to stop the Seebri because the powder irritated my throat somewhat but continued with the Clenil up to a couple of months ago.
shopman
in
British Heart Foundation
4 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
First Follow Up on MyTestosterone Trial
Background: I am T3c, N+, M0 HSPC. Dx in 2007 with Gleason 4+3. RARP neg, Margin positive w ECE and SVI on left. 13 nodes negative and scans clear. Elected 6 cycles of early Docetaxel, then SRT to prostate bed only, all in 2007. Intolerant/allergic to leuprolide so I did alternative ADT after BCR with
Background: I am T3c, N+, M0 HSPC. Dx in 2007 with Gleason 4+3. RARP neg, Margin positive w ECE and SVI on left. 13 nodes negative and scans clear. Elected 6 cycles of early Docetaxel, then SRT to prostate bed only, all in 2007. Intolerant/allergic to leuprolide so I did alternative ADT after BCR with
MateoBeach
in
Advanced Prostate Cancer
3 years ago
Considering HDR Brachy, any recommendations for doctors in the San Francisco Bay Area?
Met with one Dr. who recommended one day HDR Brachy and 5 weeks IMRT. Hearing CarverD's positive experience and noting slightly higher cure rates than EBRT, I want to take a closer look at this option. Any recommendations for doctors who specialize in this located in the San Francisco Bay Area?
Met with one Dr. who recommended one day HDR Brachy and 5 weeks IMRT. Hearing CarverD's positive experience and noting slightly higher cure rates than EBRT, I want to take a closer look at this option. Any recommendations for doctors who specialize in this located in the San Francisco Bay Area?
JDL_Coffee
in
Prostate Cancer Network
3 years ago
Trying to decide if I will continue ADT after 9 months.
Haven’t posted for some time so I’ll start from the beginning. Had PSA of 6.09 May of 2018. Rose to 8.93 May of 2019. Had biopsy which showed 3+3 Gleason grade group 1 in 8 of 12 cores, no evidence of lymph or seminal invasion. Perineural invasion noted. Did active surveillance until May 2020. PSA at
Haven’t posted for some time so I’ll start from the beginning. Had PSA of 6.09 May of 2018. Rose to 8.93 May of 2019. Had biopsy which showed 3+3 Gleason grade group 1 in 8 of 12 cores, no evidence of lymph or seminal invasion. Perineural invasion noted. Did active surveillance until May 2020. PSA at
Ernbud
in
Prostate Cancer Network
3 years ago
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