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Experiences with
Intensity modulated radiation therapy (IMRT)
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testosterone new result .
Just finished 25
IMRT
, 03/08 to pelvic field , taking Eligard , started Zytiga , prednisone 02/01. This is all new for me so I can get worried real quick . Current PSA .04 , down from .22 . Testosterone was <7 on 02/24 and now 03/29 its 9 ng/dl . So is this T reading no good , good , Ok ?
Just finished 25
IMRT
, 03/08 to pelvic field , taking Eligard , started Zytiga , prednisone 02/01. This is all new for me so I can get worried real quick . Current PSA .04 , down from .22 . Testosterone was <7 on 02/24 and now 03/29 its 9 ng/dl . So is this T reading no good , good , Ok ?
reconjj
in
Advanced Prostate Cancer
2 years ago
Triplet therapy with no known bone/visceral mets?
IMRT
x40, to whole pelvis with boosts to bed and anastomosis January through March 2022. No PSMA imaging. Conventional scans and fluciclovine scans in August 2021, repeated December 2021, didn’t reveal any bone or visceral Mets.
IMRT
x40, to whole pelvis with boosts to bed and anastomosis January through March 2022. No PSMA imaging. Conventional scans and fluciclovine scans in August 2021, repeated December 2021, didn’t reveal any bone or visceral Mets.
August13
in
Advanced Prostate Cancer
2 years ago
Blood in stool after RT of prostate and Pelvis
I had
IMRT
in nov 2019 on prostate and pelvis , seminal vesicules: Prostate 60 GY in 20 fractions and pelvis 48 GY boost. Technique IGRT dyamic arctherapy... Starting January 2022, I started having occasional red blood spots on toilet paper. I have no constipation, no rectal irritation, no pain.
I had
IMRT
in nov 2019 on prostate and pelvis , seminal vesicules: Prostate 60 GY in 20 fractions and pelvis 48 GY boost. Technique IGRT dyamic arctherapy... Starting January 2022, I started having occasional red blood spots on toilet paper. I have no constipation, no rectal irritation, no pain.
Karmaji
in
Advanced Prostate Cancer
2 years ago
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How long after treatment for testosterone replacement?
Treatment: Casodex followed by HDR Brachy, 25 sessions
IMRT
and 18 months ADT. Treatment ended just about a year ago and PSA remains undetectable. Testosterone was 300 just prior to diagnosis but thus far it too remains undetectable.
Treatment: Casodex followed by HDR Brachy, 25 sessions
IMRT
and 18 months ADT. Treatment ended just about a year ago and PSA remains undetectable. Testosterone was 300 just prior to diagnosis but thus far it too remains undetectable.
VN6465
in
Advanced Prostate Cancer
2 years ago
Pet Scan and Guidance
Also, the plan is for ADT for 24 months (although MO indicated he may recommend 24 months beyond
IMRT
, so 27 months). I am not on the Predict Rt trial, but this seems consistent. Anything else I should consider?
Also, the plan is for ADT for 24 months (although MO indicated he may recommend 24 months beyond
IMRT
, so 27 months). I am not on the Predict Rt trial, but this seems consistent. Anything else I should consider?
Gatodd
in
Advanced Prostate Cancer
2 years ago
Lymphocytes & Absolute Lymphocytes
Good Morning all , I just completed my 25 days of
IMRT
, Tomotherapy on 03/08/22 to the pelvic region . Also had 3 sessions of SBRT to 1 lymph node in the pelvic area , Oligometatastic 01/13. So I just received lab results yesterday from Univ. of Chicago .
Good Morning all , I just completed my 25 days of
IMRT
, Tomotherapy on 03/08/22 to the pelvic region . Also had 3 sessions of SBRT to 1 lymph node in the pelvic area , Oligometatastic 01/13. So I just received lab results yesterday from Univ. of Chicago .
reconjj
in
Advanced Prostate Cancer
2 years ago
IS A Post-SBRT bounce similar to primary radiation tx. bounce?
Had SRT (
IMRT
). Failed that. Had HT (Lupron + Casodex). Great response, Enough to do HT vacations after a year. When PSA would start rising, did best scans at the time (C11 Scan at Mayo in 2014; Ga-68 PSMA scan at Umich in 2018). Each scan found 1 or 2 hot ext. abdominal node. SBRT each time.
Had SRT (
IMRT
). Failed that. Had HT (Lupron + Casodex). Great response, Enough to do HT vacations after a year. When PSA would start rising, did best scans at the time (C11 Scan at Mayo in 2014; Ga-68 PSMA scan at Umich in 2018). Each scan found 1 or 2 hot ext. abdominal node. SBRT each time.
compiler
in
Advanced Prostate Cancer
2 years ago
Looking for input on Chemo & Oligometastatic
(spot on right pelvic bone) / removed prostate via surgery in July 2020, have been on Lupron & Erleada since Aug 2020 & did
IMRT
radiation to pelvic bone in Feb 2021. My PSA is currently undetectable. The plan is go off of the hormone drugs (Lupron & Erleada) at the end of this month (March).
(spot on right pelvic bone) / removed prostate via surgery in July 2020, have been on Lupron & Erleada since Aug 2020 & did
IMRT
radiation to pelvic bone in Feb 2021. My PSA is currently undetectable. The plan is go off of the hormone drugs (Lupron & Erleada) at the end of this month (March).
ndirish
in
Advanced Prostate Cancer
2 years ago
D-Day !
Is there any disadvantage to delaying
IMRt
after the first one ? Thanks
Is there any disadvantage to delaying
IMRt
after the first one ? Thanks
reconjj
in
Advanced Prostate Cancer
2 years ago
Proton VS. IMRT
I was meeting with an RO who practices
IMRT
and was referred to a colleague who practices at the Proton center. (so close to my home that I could walk there. ) I had over ruled Proton because my urologist told me that it not used for High Risk PCa.
I was meeting with an RO who practices
IMRT
and was referred to a colleague who practices at the Proton center. (so close to my home that I could walk there. ) I had over ruled Proton because my urologist told me that it not used for High Risk PCa.
Scout4answers
in
Advanced Prostate Cancer
2 years ago
Need help for next step
cure this tow 5 mm metastatic with zytiga abiraterone and radiation
IMRT
and after that we do the prostatectomy and take of the prostat ???????
cure this tow 5 mm metastatic with zytiga abiraterone and radiation
IMRT
and after that we do the prostatectomy and take of the prostat ???????
saeed_alexy
in
Fight Prostate Cancer
2 years ago
my friends i have very important question about surgery after metastases
to cure this tow 5 mm metastatic with zytiga abiraterone and radiation
IMRT
and after that we do the prostatectomy and take of the prostat ???????
to cure this tow 5 mm metastatic with zytiga abiraterone and radiation
IMRT
and after that we do the prostatectomy and take of the prostat ???????
saeed_alexy
in
Advanced Prostate Cancer
2 years ago
I need some input
, who has been referred for evaluation for radiotherapy. " I'm set up for a PMSA- pet next Wed to try to resolve the rib and any other issues, but he at present wants me to start this treatment without delay/ASAP: "we would likely recommend ST-ADT (6 months) with brachytherapy boost (HDR 15 Gy) and
IMRT
, who has been referred for evaluation for radiotherapy. " I'm set up for a PMSA- pet next Wed to try to resolve the rib and any other issues, but he at present wants me to start this treatment without delay/ASAP: "we would likely recommend ST-ADT (6 months) with brachytherapy boost (HDR 15 Gy) and
IMRT
Katamiran
in
Prostate Cancer Network
2 years ago
Pylarify and ADT question
The RO at MSKCC wants to go with 4 months of ADT and 26 sessions of
IMRT
. He wants us to explore proton therapy as well since my dad had ulcerative colitis in 1990 which is completely under remission. Can someone throw light on SBRT vs
IMRT
vs Proton Therapy and Lupron Vs Firmagon vs Orgovyx.
The RO at MSKCC wants to go with 4 months of ADT and 26 sessions of
IMRT
. He wants us to explore proton therapy as well since my dad had ulcerative colitis in 1990 which is completely under remission. Can someone throw light on SBRT vs
IMRT
vs Proton Therapy and Lupron Vs Firmagon vs Orgovyx.
DRKC81
in
Prostate Cancer Network
2 years ago
Prostate and PSA
Hello All , Still having my prostate after SBRT 6 yrs ago , and now having had SBRT to 1 hot lymph nose in the pelvic area and just started mt 25 sessions of
IMRt
to the pelvic area , and just started being on Eligard , Zytiga , prednisone.
Hello All , Still having my prostate after SBRT 6 yrs ago , and now having had SBRT to 1 hot lymph nose in the pelvic area and just started mt 25 sessions of
IMRt
to the pelvic area , and just started being on Eligard , Zytiga , prednisone.
reconjj
in
Advanced Prostate Cancer
2 years ago
Proton Beam vs IMRT
Hirsch can do the
IMRT
in 25 sessions at the same place . Or , at an affiliate , partner in group , with Proton Beam about 30 minutes away . Are there advantages to Proton Beam compared to
IMRT
?
Hirsch can do the
IMRT
in 25 sessions at the same place . Or , at an affiliate , partner in group , with Proton Beam about 30 minutes away . Are there advantages to Proton Beam compared to
IMRT
?
reconjj
in
Advanced Prostate Cancer
2 years ago
For those of you who had radiation, how did you manage nausea if you had it?
My brother is in his 4th week of radiation and since day 2 has been extremely nauseous all of the time, he had the beads implanted in his prostate and is doing
IMRT
for 9 weeks, he is on promethazine but it doesnt really seem to be working well.
My brother is in his 4th week of radiation and since day 2 has been extremely nauseous all of the time, he had the beads implanted in his prostate and is doing
IMRT
for 9 weeks, he is on promethazine but it doesnt really seem to be working well.
Radtech40
in
Advanced Prostate Cancer
2 years ago
Metabolic Panel ?
Also started on Feb. 1st are 25 days of
IMRT
. 1 month earlier I had 1 hot lymph Node radiated with SBRT . So now how often should Albumin , Alk Phos , AST , ALT, PSA , or any other test for eg. , Heart , Bone Density etc . V.A. gave me a metabolic panel prior to ADT , all was good . .
Also started on Feb. 1st are 25 days of
IMRT
. 1 month earlier I had 1 hot lymph Node radiated with SBRT . So now how often should Albumin , Alk Phos , AST , ALT, PSA , or any other test for eg. , Heart , Bone Density etc . V.A. gave me a metabolic panel prior to ADT , all was good . .
reconjj
in
Advanced Prostate Cancer
2 years ago
Any long remissions on ADT , Abi , pred ?
On 1/31 PSA was ( .4 ) I started
IMRT
, Tomotherapy on 02/01 and have 18 fractions completed as of today out of 25 . On 02/17 , PSA is at .22 and testerone is <7 . I also started on 02/01 Zytiga , ( 1 - 250mg on a light breakfast and 1- 5mg prednisone ) .
On 1/31 PSA was ( .4 ) I started
IMRT
, Tomotherapy on 02/01 and have 18 fractions completed as of today out of 25 . On 02/17 , PSA is at .22 and testerone is <7 . I also started on 02/01 Zytiga , ( 1 - 250mg on a light breakfast and 1- 5mg prednisone ) .
reconjj
in
Advanced Prostate Cancer
2 years ago
Primary SBRT / Stage 4
And during the
IMRT
should the prostate area be radiated ?
And during the
IMRT
should the prostate area be radiated ?
reconjj
in
Advanced Prostate Cancer
2 years ago
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