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Experiences with
Intensity modulated radiation therapy (IMRT)
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First ever PSMA scan shows two small bone lesions
I recently posted about my father who had just completed
IMRT
and three years of Lupron (no mets seen on bone/CT scans). At the time his MO was suggesting adding Zytiga per studies showing its effectiveness with ADT at diagnosis for localized high grade cancer (he is Gleason 9).
I recently posted about my father who had just completed
IMRT
and three years of Lupron (no mets seen on bone/CT scans). At the time his MO was suggesting adding Zytiga per studies showing its effectiveness with ADT at diagnosis for localized high grade cancer (he is Gleason 9).
mooman80
in
Advanced Prostate Cancer
2 years ago
Sacrum tumor biopsy
MO is willing to proceed with
IMRT
w/o biopsy for urgency, then start Lynparza 30 days later. 2nd opinion suggests biopsy then
IMRT
. Biopsy will not make a difference in treatment with the RO, but says it could possibly make a difference with other treatment?
MO is willing to proceed with
IMRT
w/o biopsy for urgency, then start Lynparza 30 days later. 2nd opinion suggests biopsy then
IMRT
. Biopsy will not make a difference in treatment with the RO, but says it could possibly make a difference with other treatment?
Pops78
in
Advanced Prostate Cancer
2 years ago
Undetectable PSA
I'm also on Zytiga and finished 44
IMRT
5 weeks ago. The cancer center is attached to a large hospital and they test the blood work in house. MO says everything looked great and that my PSA is now undetectable. The lab report says <0.0 ng/ml. PSA was performed using Roche Immunoassay method.
I'm also on Zytiga and finished 44
IMRT
5 weeks ago. The cancer center is attached to a large hospital and they test the blood work in house. MO says everything looked great and that my PSA is now undetectable. The lab report says <0.0 ng/ml. PSA was performed using Roche Immunoassay method.
Huzzah1
in
Advanced Prostate Cancer
2 years ago
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Need help/input on Adjuvant vs salvage radiation after prostatectomy & extended lymph node dissection. Also studies/input on # fractions?
History: Husbands care team planned for a “multi-modality” treatment plan (ADT+Zytiga, then prostatectomy with ePLND, followed by adjuvant
IMRT
), for his Gleason 10, locally advanced PC.
History: Husbands care team planned for a “multi-modality” treatment plan (ADT+Zytiga, then prostatectomy with ePLND, followed by adjuvant
IMRT
), for his Gleason 10, locally advanced PC.
StephH72
in
Advanced Prostate Cancer
1 year ago
Anyone had High Dose Brachytherapy?
Husband has been offered this as an option (HD brachy followed by EBRT/
IMRT
) yet we’ve never met anyone who has done this and we’re trying to find out if it’s uncommon and if so why?
Husband has been offered this as an option (HD brachy followed by EBRT/
IMRT
) yet we’ve never met anyone who has done this and we’re trying to find out if it’s uncommon and if so why?
StephH72
in
Advanced Prostate Cancer
2 years ago
39th and probs last Chemo💙
MRI on 12/09 Biopsy on 12/23 Then MRI guided
IMRT
prolly 2023 Up and dancing in the chemo bay to this: https://youtu.be/3GwjfUFyY6M Life is Beautiful Fight on, Dance in, QoL on It's Aloha Friday, so wore that colorful shirt. Gotta remember to take a picture with the staff DGAF - Don't Give A F😂
MRI on 12/09 Biopsy on 12/23 Then MRI guided
IMRT
prolly 2023 Up and dancing in the chemo bay to this: https://youtu.be/3GwjfUFyY6M Life is Beautiful Fight on, Dance in, QoL on It's Aloha Friday, so wore that colorful shirt. Gotta remember to take a picture with the staff DGAF - Don't Give A F😂
dockam
in
Advanced Prostate Cancer
2 years ago
Anyone on Lymparza with positive results?
Either 3D or
IMRT
to start soon x 10 days for 3D, (not sure time for
IMRT
). RO says mets there on scans of 2/22 but small, now larger. We didn't know. MO wants to start Olaparib (Lymparza) 30 days after finishing radiation, but to stay on Nubequa with it.
Either 3D or
IMRT
to start soon x 10 days for 3D, (not sure time for
IMRT
). RO says mets there on scans of 2/22 but small, now larger. We didn't know. MO wants to start Olaparib (Lymparza) 30 days after finishing radiation, but to stay on Nubequa with it.
Pops78
in
Advanced Prostate Cancer
2 years ago
Hoping for the best
Surgery failed because the prostate was to closely adhered to the rectum, so I underwent 45 sessions of
IMRT
. I am now on Abiraterone and prednisone for two years.
Surgery failed because the prostate was to closely adhered to the rectum, so I underwent 45 sessions of
IMRT
. I am now on Abiraterone and prednisone for two years.
Hidden
in
Advanced Prostate Cancer
2 years ago
Lookin for next phase of my PC fight
Surgery in 2009,
IMRT
completed in 08/2021 when PSA was at 0.12. I had a negative PSMA pet scan when my PSA was 0.3. My latest PSA result on 11/4/20222 was 0.42 up from 0.3 6 months ago. Because of my age, my Oncologist wants to wait as long as possible before starting me on ADT.
Surgery in 2009,
IMRT
completed in 08/2021 when PSA was at 0.12. I had a negative PSMA pet scan when my PSA was 0.3. My latest PSA result on 11/4/20222 was 0.42 up from 0.3 6 months ago. Because of my age, my Oncologist wants to wait as long as possible before starting me on ADT.
old64horn
in
Advanced Prostate Cancer
2 years ago
A copied response to SLIMPICKINS
The
IMRT
was a snap and really helped with the pain issues...but... They did the Pelvic area last and that was weird. It took 8 weeks for me to poop right again. I did acquire some exercise equipment, a recumbent bike that doubles as a Nordic elliptical trainer.
The
IMRT
was a snap and really helped with the pain issues...but... They did the Pelvic area last and that was weird. It took 8 weeks for me to poop right again. I did acquire some exercise equipment, a recumbent bike that doubles as a Nordic elliptical trainer.
lookout4
in
Advanced Prostate Cancer
1 year ago
What Do You Make of This?
Is this saying that targeted treatment with no or limited ADT would have been sufficient, especially if HDR brachytherapy were used with
IMRT
?
Is this saying that targeted treatment with no or limited ADT would have been sufficient, especially if HDR brachytherapy were used with
IMRT
?
ADTMan
in
Advanced Prostate Cancer
2 years ago
PSA Test Frequency After Extended ADT
A little background on me: - Diagnosed summer 2019 w/G9 at age 56 - RP Aug 2019 confirmed G9, ECE, SVI+, LN+ so stage T3cN1 - Decipher score was 0.71 - Had 35 sessions of
IMRT
in summer 2020 along with 24 mths of ADT (started in spring 2020). The ADT began wearing off in April 2022.
A little background on me: - Diagnosed summer 2019 w/G9 at age 56 - RP Aug 2019 confirmed G9, ECE, SVI+, LN+ so stage T3cN1 - Decipher score was 0.71 - Had 35 sessions of
IMRT
in summer 2020 along with 24 mths of ADT (started in spring 2020). The ADT began wearing off in April 2022.
DJBUNK
in
Advanced Prostate Cancer
2 years ago
Anyone in Clinical Trail NRG-GU009?
I am leaning toward ADT+
IMRT
+LDR PB Boost for a G9 contained to the prostate. Help me with my analysis: Positives: 1. If I ended up being a high DECIPHER risk gives me access to Apalutimide right away. Negatives: 1.
I am leaning toward ADT+
IMRT
+LDR PB Boost for a G9 contained to the prostate. Help me with my analysis: Positives: 1. If I ended up being a high DECIPHER risk gives me access to Apalutimide right away. Negatives: 1.
OldVTGuy
in
Advanced Prostate Cancer
2 years ago
How to monitor intraductal PCa that has low PSA production?
My aggressive intraductal PCa (0.88 Decipher) does not express PSA/PSMA very well (see my bio). Dx in June,2022. I've been getting 3 month Eligard injections for the last 7 mos., to continue for possibly 11 more mos. Just completed 28 sessions of IMRT.Since PSA testing may not be very helpful for my
My aggressive intraductal PCa (0.88 Decipher) does not express PSA/PSMA very well (see my bio). Dx in June,2022. I've been getting 3 month Eligard injections for the last 7 mos., to continue for possibly 11 more mos. Just completed 28 sessions of IMRT.Since PSA testing may not be very helpful for my
Danskor
in
Advanced Prostate Cancer
1 year ago
Nubeqa failing onto C-94676 clinical trial
Had 45
IMRT
radiation treatments in 2015. When PSA began to rise I was prescribed bicalutamide where my PSA began to once again rise after having been undetectable for several years and in March of 2021 placed on darolutamide. Once again PSA began a slow rise where it reached 2.18 in 10/22.
Had 45
IMRT
radiation treatments in 2015. When PSA began to rise I was prescribed bicalutamide where my PSA began to once again rise after having been undetectable for several years and in March of 2021 placed on darolutamide. Once again PSA began a slow rise where it reached 2.18 in 10/22.
wagscure259
in
Advanced Prostate Cancer
2 years ago
CBC EVERY 2 WEEKS DURING IMRT
I won't be meeting with my RO again until Wednesday August 31st, but I was wondering if these numbers are concerning or normal when receiving
IMRT
.
I won't be meeting with my RO again until Wednesday August 31st, but I was wondering if these numbers are concerning or normal when receiving
IMRT
.
GMan-62
in
Advanced Prostate Cancer
2 years ago
Blood in the urine
It only happened once but then in September, it happened again so my Urologist performed a cystoscopy in his office and saw some irritation in the bladder that may have been a result of the
IMRT
I had last year. .
It only happened once but then in September, it happened again so my Urologist performed a cystoscopy in his office and saw some irritation in the bladder that may have been a result of the
IMRT
I had last year. .
old64horn
in
Advanced Prostate Cancer
2 years ago
Change in orgasm feeling after PCa treatment?
I had
IMRT
, ADT, and brachyboost. Definitely different for me pre/post- treatment. Sensation is not as intense now. Location of pleasure seems to be more concentrated at head than before. Feels like major "push" from gut in order to orgasm. Sometimes a few drops of "pre-cum."
I had
IMRT
, ADT, and brachyboost. Definitely different for me pre/post- treatment. Sensation is not as intense now. Location of pleasure seems to be more concentrated at head than before. Feels like major "push" from gut in order to orgasm. Sometimes a few drops of "pre-cum."
EdinBmore
in
Prostate Cancer And Gay Men
2 years ago
Biomarkers as Predictive Tools for Selection of Treatment
DO NOT wait for PSA to get this high...do not depend on a DRE...none of these will give you the margin of safety you think they do...the mix of biomarkers and the pathway to treatment discussed here is mind blowing...man do I wish I had this one surgery and an
IMRT
ago...but if this helps someone in
DO NOT wait for PSA to get this high...do not depend on a DRE...none of these will give you the margin of safety you think they do...the mix of biomarkers and the pathway to treatment discussed here is mind blowing...man do I wish I had this one surgery and an
IMRT
ago...but if this helps someone in
RMontana
in
Active Surveillance - Prostate Cancer
2 years ago
PET PSMA scan and low PSA and Lurpon
My radiologist wants me to get the scan so I can then get set up for
IMRT
and possible SBRT.
My radiologist wants me to get the scan so I can then get set up for
IMRT
and possible SBRT.
Dave78717
in
Advanced Prostate Cancer
2 years ago
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