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What Treatment - Or No Treatment Advice?
I am interested in what would be advised for a fit and active almost 78-year-old, In NED from stage 4 UTUC upper tract urothelial carcinoma. Initial prognosis 6 - 9 months in April 2017. Now only one kidney (GFR 42) No other co-morbidities. Good BMI. Never smoker or drinker. Not on any medication
I am interested in what would be advised for a fit and active almost 78-year-old, In NED from stage 4 UTUC upper tract urothelial carcinoma. Initial prognosis 6 - 9 months in April 2017. Now only one kidney (GFR 42) No other co-morbidities. Good BMI. Never smoker or drinker. Not on any medication
Nordman
in
Advanced Prostate Cancer
10 months ago
TRT Causing Breast Enlargement
Has anyone on this site experienced breast enlargement while on TRT? Just curious as to how common this is. Am considering it because two years after ADT. (18 months Lupron and Bicalutamide) my T level is 66, PSA .28.
Has anyone on this site experienced breast enlargement while on TRT? Just curious as to how common this is. Am considering it because two years after ADT. (18 months Lupron and Bicalutamide) my T level is 66, PSA .28.
Jack54
in
Advanced Prostate Cancer
10 months ago
2nd Opinion Recommendation for North Carolinia/Virginia/DC
Hello, New to the board looking for some advice on Doctors in North Carolina/Virginia/DC area for 2nd opinion. I underwent MRI, and MRI guided Transperineal Biopsy with Inova Schar Cancer Institute in Fairfax VA. MRI on Oct 9 2023 resulted in PI-Rad 5 Score for 1 suspicious lesion, Seminal Vesticles
Hello, New to the board looking for some advice on Doctors in North Carolina/Virginia/DC area for 2nd opinion. I underwent MRI, and MRI guided Transperineal Biopsy with Inova Schar Cancer Institute in Fairfax VA. MRI on Oct 9 2023 resulted in PI-Rad 5 Score for 1 suspicious lesion, Seminal Vesticles
Seminole0412
in
Prostate Cancer Network
10 months ago
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treatment or no treatment?
it’s been almost 3 years since i was diagnosed with a Gleason 8 prostate cancer, confined to the prostate. To date I have elected not to be treated but instead have been monitoring my PSA levels. Originally this was 6 now 15. I am 66 with no symptoms and no other health issues. I have declined treatment
it’s been almost 3 years since i was diagnosed with a Gleason 8 prostate cancer, confined to the prostate. To date I have elected not to be treated but instead have been monitoring my PSA levels. Originally this was 6 now 15. I am 66 with no symptoms and no other health issues. I have declined treatment
Mark2025
in
Advanced Prostate Cancer
10 months ago
Newly diagnosed metastatic PC treatment options
Hi, I'm 68 years old. Here are the key points in my story so far: In July 2023 a blood test showed a PSA value of 45. On September 26 2023, prostate MRI showed a dominant tumor in the prostate with extension into the right seminal vesicle. Also the fat plane between the rectum and prostate is lost
Hi, I'm 68 years old. Here are the key points in my story so far: In July 2023 a blood test showed a PSA value of 45. On September 26 2023, prostate MRI showed a dominant tumor in the prostate with extension into the right seminal vesicle. Also the fat plane between the rectum and prostate is lost
ShorePine
in
Advanced Prostate Cancer
10 months ago
1, 3 or 6 month ADT?
Originally, after a prostatectomy and 40 radiation treatments, I had a one month shot of Lupron followed by a six month shot of Lupron. My PSA went to undetectable. Seven years later my PSA crept up to seven and I was put on a monthly shot of Firmagon for life. My PSA is again undetectable and all scans
Originally, after a prostatectomy and 40 radiation treatments, I had a one month shot of Lupron followed by a six month shot of Lupron. My PSA went to undetectable. Seven years later my PSA crept up to seven and I was put on a monthly shot of Firmagon for life. My PSA is again undetectable and all scans
epfj3333
in
Advanced Prostate Cancer
10 months ago
Big decsions regarding SRT/ADT due to BCR post RP
My husband was had a robotic radical prostatectomy 1/2019 with no major complications or side effects. Gleason 4+3, negative margins and no positive lymph nodes. There was cribiform invasion of a nerve but all margins of the prostate and 0/13 LN were negative after surgery. His post surgical PSA was
My husband was had a robotic radical prostatectomy 1/2019 with no major complications or side effects. Gleason 4+3, negative margins and no positive lymph nodes. There was cribiform invasion of a nerve but all margins of the prostate and 0/13 LN were negative after surgery. His post surgical PSA was
shihtzu124
in
Advanced Prostate Cancer
10 months ago
Big decisions regarding SRT and ADT for BCR
My husband was had a robotic radical prostatectomy 1/2019 with no major complications or side effects. Gleason 4+3, negative margins and no positive lymph nodes. There was cribiform invasion of a nerve but all margins of the prostate and 0/13 LN were negative after surgery. His post surgical PSA was
My husband was had a robotic radical prostatectomy 1/2019 with no major complications or side effects. Gleason 4+3, negative margins and no positive lymph nodes. There was cribiform invasion of a nerve but all margins of the prostate and 0/13 LN were negative after surgery. His post surgical PSA was
shihtzu124
in
Prostate Cancer Network
10 months ago
PSA Doubled in 2 Months
PSA end of August was 0.12 now 0.24. I met with 2 ROs to discuss treatment when my PSA was 0.20 a week ago . One suggested ADT 18-24 months and prostate bed radiation. Second RO says we can avoid ADT for now as he sees 0.70 as the value he believes requires ADT. I'm scheduled for F18 PSMA scan in early
PSA end of August was 0.12 now 0.24. I met with 2 ROs to discuss treatment when my PSA was 0.20 a week ago . One suggested ADT 18-24 months and prostate bed radiation. Second RO says we can avoid ADT for now as he sees 0.70 as the value he believes requires ADT. I'm scheduled for F18 PSMA scan in early
NJWarrior
in
Advanced Prostate Cancer
10 months ago
Olaparib? Chemo? or both ?
Hi All, Fathers latest PSA reading is 3.87 (up from 2.3 in 9/23) , he was switched from Enza to Abi last month but apparently it hasnt worked. He was also tested for germline mutations and found to be BRCA 2 +. His blood counts are relatively low with Hgb at 10.7 and RBC at 3.9 What are the options
Hi All, Fathers latest PSA reading is 3.87 (up from 2.3 in 9/23) , he was switched from Enza to Abi last month but apparently it hasnt worked. He was also tested for germline mutations and found to be BRCA 2 +. His blood counts are relatively low with Hgb at 10.7 and RBC at 3.9 What are the options
dudubaya
in
Advanced Prostate Cancer
10 months ago
E-Consultation Endocrinologist or Thyroid Specialist Recommendation?
Hi, I have been suffering from symptoms of hypothyroidism including extreme fatigue and sensitivity to cold. Every doctor I see says my TSH is within range and I do not have hypothyroidism. Got a nutrition test done and levels all optimal. Testosterone is optimal also. Results: TSH 2.44 (0.27-4.2)
Hi, I have been suffering from symptoms of hypothyroidism including extreme fatigue and sensitivity to cold. Every doctor I see says my TSH is within range and I do not have hypothyroidism. Got a nutrition test done and levels all optimal. Testosterone is optimal also. Results: TSH 2.44 (0.27-4.2)
Notion88
in
Thyroid UK
1 year ago
Whats high PSA? ( when you havent been diagnosed with prostate cancer)
After father was diagnosed. Several family member went and tested themselves with PSA tests. My husband was 39 years old and his PSA test came back 1,9 and this year at 40 years his PSA was 1,6, free PSA added 0,4 ( which was good). I read somewhere that PSA 1,5 and higher is of concern. I feel
After father was diagnosed. Several family member went and tested themselves with PSA tests. My husband was 39 years old and his PSA test came back 1,9 and this year at 40 years his PSA was 1,6, free PSA added 0,4 ( which was good). I read somewhere that PSA 1,5 and higher is of concern. I feel
Daddysgirl83
in
Advanced Prostate Cancer
10 months ago
PSA bounce after LDR brachytherapy?
Hi all, First, an update, as my last full update about various issues was five weeks after LDR brachytherapy (almost two years ago), in which I reported that, thankfully, I had no urinary, bowel, or sexual function issues. That update is here in the link below, and I'm happy to report that it's all
Hi all, First, an update, as my last full update about various issues was five weeks after LDR brachytherapy (almost two years ago), in which I reported that, thankfully, I had no urinary, bowel, or sexual function issues. That update is here in the link below, and I'm happy to report that it's all
NYC_talker
in
Prostate Cancer Network
10 months ago
PSA level six months Eligard
I was diagnosed with PC in September 2022 with PSA level of 35 and had my prostate removed in January 2023. Since then, I started ADT in June 2023 and went through 39 sessions of SRT. My current PSA is 0.008 ng/mL. My doctor gave me a choice of continue with ADT for another six months which I already
I was diagnosed with PC in September 2022 with PSA level of 35 and had my prostate removed in January 2023. Since then, I started ADT in June 2023 and went through 39 sessions of SRT. My current PSA is 0.008 ng/mL. My doctor gave me a choice of continue with ADT for another six months which I already
toyman79912
in
Advanced Prostate Cancer
10 months ago
Options After Pluvicto.................
Pluvicto is dropping my PSA, and i will be having my fourth infusion on December 4th, 2023. Has anyone in my situation know what their next option will be ?? What comes after Pluvicto to maintain a low PSA ??
Pluvicto is dropping my PSA, and i will be having my fourth infusion on December 4th, 2023. Has anyone in my situation know what their next option will be ?? What comes after Pluvicto to maintain a low PSA ??
Kian28
in
Advanced Prostate Cancer
10 months ago
CDK12 gene mutation
My husband continues to be hormone sensitive but Sept. 4, 2023 he developed intense and unrelenting pain in his right mandible. The oncologist and palliative care nurse prescribed morphine and dilaudid to help reduce the pain. These pain meds are helping although he can still feel pain and gets breakthrough
My husband continues to be hormone sensitive but Sept. 4, 2023 he developed intense and unrelenting pain in his right mandible. The oncologist and palliative care nurse prescribed morphine and dilaudid to help reduce the pain. These pain meds are helping although he can still feel pain and gets breakthrough
Decktime
in
Advanced Prostate Cancer
10 months ago
Just completed a whole gland TULSA procedure
This was salvage treatment after failure of SBRT by MRIdian in Mar 2020.PSA nadir after SBRT was 2.4 and it rose to 5.3 just 3 years later, when a PSMA scan showed 2 possible tumours within the gland. A subsequent biopsy confirmed local tumour recurrence with Gleason 4+4. Interventional radiotherapy
This was salvage treatment after failure of SBRT by MRIdian in Mar 2020.PSA nadir after SBRT was 2.4 and it rose to 5.3 just 3 years later, when a PSMA scan showed 2 possible tumours within the gland. A subsequent biopsy confirmed local tumour recurrence with Gleason 4+4. Interventional radiotherapy
Packidge
in
Advanced Prostate Cancer
10 months ago
Can I radiate a tumor mass abutting rectum wall & bladder wall on prostate bed?
RP w/ PLNR 03/2023 PSA RISING Nov 7, 2023 0.11ng/mL <=3.99 ng/mL Oct 10, 2023 0.09ng/mL <=3.99 ng/mL Sep 7, 2023 <0.06ng/mL <=3.99 ng/mL Aug 8, 2023 <0.06ng/mL <=3.99 ng/mL Jul 6, 2023 <0.06ng/mL <=3.99 ng/mL Isn’t it difficult to radiate a mass on prostate
RP w/ PLNR 03/2023 PSA RISING Nov 7, 2023 0.11ng/mL <=3.99 ng/mL Oct 10, 2023 0.09ng/mL <=3.99 ng/mL Sep 7, 2023 <0.06ng/mL <=3.99 ng/mL Aug 8, 2023 <0.06ng/mL <=3.99 ng/mL Jul 6, 2023 <0.06ng/mL <=3.99 ng/mL Isn’t it difficult to radiate a mass on prostate
Shorehousejam
in
Advanced Prostate Cancer
10 months ago
Lutetium 177 for "early" grade 4 pc or amino acid suppression ?
Dear All,It's a story of two brothers in the uk. Older brother was identified with 4+5 pc. His urologist recommended that any sibling be tested for pc. I did so and it was discovered that I had 3+4 pc. Older brother , via our national health care system, NHS, has systemic treatment ( chemo and hormone
Dear All,It's a story of two brothers in the uk. Older brother was identified with 4+5 pc. His urologist recommended that any sibling be tested for pc. I did so and it was discovered that I had 3+4 pc. Older brother , via our national health care system, NHS, has systemic treatment ( chemo and hormone
Wishyouwerehere
in
Prostate Cancer Network
10 months ago
Opinion sought for ADT treatment duration
I started taking Orgovyx tablets last April. Then I went through the typical 45 radiation treatments of the prostate. 3 months ago my PSA had dropped from 8 to 0.7. Last week it had dropped to 0.1 ng/ml. A biopsy last year showed 1 sample identified as Gleason 8. My urologist thinks I can stop taking
I started taking Orgovyx tablets last April. Then I went through the typical 45 radiation treatments of the prostate. 3 months ago my PSA had dropped from 8 to 0.7. Last week it had dropped to 0.1 ng/ml. A biopsy last year showed 1 sample identified as Gleason 8. My urologist thinks I can stop taking
Doodlebun
in
Advanced Prostate Cancer
10 months ago
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