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Intensity modulated radiation therapy (IMRT)
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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
Am I Crazy???
Although I wonder about that theory, since my entire pelvic region was blasted with 40 doses of
IMRT
in early 2019. So my question is, is it completely irresponsible to wait until the source of my PSA can be detected, and try to treat the source with targeted radiation?
Although I wonder about that theory, since my entire pelvic region was blasted with 40 doses of
IMRT
in early 2019. So my question is, is it completely irresponsible to wait until the source of my PSA can be detected, and try to treat the source with targeted radiation?
Murph256
in
Advanced Prostate Cancer
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'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?
OhioGuy2
in
Advanced Prostate Cancer
3 years ago
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ADT Vacation
I underwent a RP followed by 39
IMRT
sessons. In June and Oct, Nov 2019 respectively. My post RP pathology was G9 pT3bN1M0 with ECE and SVI. A Terrible result at the age of 53 IMHO. It's hard to believe it's been 2 years. How time goes by so fast? Anyway. wish me luck. I'm going to need some.
I underwent a RP followed by 39
IMRT
sessons. In June and Oct, Nov 2019 respectively. My post RP pathology was G9 pT3bN1M0 with ECE and SVI. A Terrible result at the age of 53 IMHO. It's hard to believe it's been 2 years. How time goes by so fast? Anyway. wish me luck. I'm going to need some.
Hidden
in
Advanced Prostate Cancer
3 years ago
K I S S, yes trying to keep it simple. A Lupron vacation after 2 yrs on & Abiraterone(250mg) & Prednisone 5mg? Yes or no?
I opted for 42
IMRT
radiation zaps Oct-Dec 2005. Final comment: Why am I leaning on or toward a possible Lupron vacation, carefully monitored with PSA and other labs, monthly? Improvement on my cardiac health. Reduce SE's from ADT. Reduce chances of further AFIB. Watch monitor my cardiac EF %.
I opted for 42
IMRT
radiation zaps Oct-Dec 2005. Final comment: Why am I leaning on or toward a possible Lupron vacation, carefully monitored with PSA and other labs, monthly? Improvement on my cardiac health. Reduce SE's from ADT. Reduce chances of further AFIB. Watch monitor my cardiac EF %.
depotdoug
in
Advanced Prostate Cancer
3 years ago
Rising PSA
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 scan. I live in Virginia, so I would prefer to get a PYLARIFY scan closer to home, but it is not available yet anywhere that I can find.
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 scan. I live in Virginia, so I would prefer to get a PYLARIFY scan closer to home, but it is not available yet anywhere that I can find.
Dentilator
in
Advanced Prostate Cancer
3 years ago
RT and ADT for High Risk PCa
This was followed in Nov/Dec 18 with 44 sessions of 78 Gy of RT through
IMRT
. I continued to be on Firmagon for 24 months. My PSA came down from 250 to 0.04 by Dec 2020. Since then it remains at 0.04. My oncologist wants me to be on ADT for another 12 months.
This was followed in Nov/Dec 18 with 44 sessions of 78 Gy of RT through
IMRT
. I continued to be on Firmagon for 24 months. My PSA came down from 250 to 0.04 by Dec 2020. Since then it remains at 0.04. My oncologist wants me to be on ADT for another 12 months.
binati
in
Prostate Cancer Network
3 years ago
Trimodal Therapy
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 says unnecessary but will use.
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 says unnecessary but will use.
Qiviut
in
Advanced Prostate Cancer
3 years ago
Rising PSA despite salvage radiotherapy.
I went through salvage
IMRT
in Oct 2020 of the prostate bed. But there was no reduction of PSA whatsoever. They came back to be 0.033(Oct2020), 0.040(Jan2021), 0.045(Apr2021) and now 0.061(Jul2021). During all the while, I went through about four UTI's whereas I never had one before.
I went through salvage
IMRT
in Oct 2020 of the prostate bed. But there was no reduction of PSA whatsoever. They came back to be 0.033(Oct2020), 0.040(Jan2021), 0.045(Apr2021) and now 0.061(Jul2021). During all the while, I went through about four UTI's whereas I never had one before.
HKKWL
in
Advanced Prostate Cancer
3 years ago
Change in PSA testing method
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 the new method tell me ? Is my PSA increasing at a high rate ? Its doubling every 12 -15 weeks. At what point should there be treatment ?
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 the new method tell me ? Is my PSA increasing at a high rate ? Its doubling every 12 -15 weeks. At what point should there be treatment ?
SoonerMark
in
Advanced Prostate Cancer
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
New to the prostate cancer community
His suggested course of treatment is 5 weeks of
IMRT
followed by brachytherapy. Lupron would start two months before radiation and last a total of 24 months. No scans yet. PSMA PET scan would be possible, but it would mean waiting 3 to 4 months because of backlog at UCSF.
His suggested course of treatment is 5 weeks of
IMRT
followed by brachytherapy. Lupron would start two months before radiation and last a total of 24 months. No scans yet. PSMA PET scan would be possible, but it would mean waiting 3 to 4 months because of backlog at UCSF.
bigdoggatto
in
Prostate Cancer Network
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
Ductal PCA - Avoid T.U.R.P. and Self Cath
Going to be proton
IMRT
. Also to add some other cocktails. I have yet to speak with my oncologist for his thoughts. Maybe he will recommend another TURP!
Going to be proton
IMRT
. Also to add some other cocktails. I have yet to speak with my oncologist for his thoughts. Maybe he will recommend another TURP!
DMohr011
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
My Journey
My PSA dropped to .26 (t=7)after two months on Lupron and I start
IMRT
/SRT later this month. Thanks to y'all for sharing your stories. I look forward to being an active member of the community and sharing my journey. Blessings, Lasered
My PSA dropped to .26 (t=7)after two months on Lupron and I start
IMRT
/SRT later this month. Thanks to y'all for sharing your stories. I look forward to being an active member of the community and sharing my journey. Blessings, Lasered
Lasered
in
Prostate Cancer Network
3 years ago
Can patients with low-risk PCa benefit from radical treatment?
New (disturbing) meta-analysis below [1]. "Radical prostatectomy, radiotherapy and active surveillance are three widely used treatment options for patients with low-risk prostate cancer, but the relative effects are controversial." "Twenty-two studies containing 185,363 participants were pooled for the
New (disturbing) meta-analysis below [1]. "Radical prostatectomy, radiotherapy and active surveillance are three widely used treatment options for patients with low-risk prostate cancer, but the relative effects are controversial." "Twenty-two studies containing 185,363 participants were pooled for the
pjoshea13
in
Advanced Prostate Cancer
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.
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.
westof
in
Advanced Prostate Cancer
3 years ago
ADT + SBRT + IMRT treatment for Unfavorable Intermediate Risk PCa
He recommends SBRT/
IMRT
& 4 months ADT! He will do SBRT, and
IMRT
will be done by Dr. Valicenti @ UC Davis (closer to where I live). He also felt a shorter course of ADT was in order in my case.
He recommends SBRT/
IMRT
& 4 months ADT! He will do SBRT, and
IMRT
will be done by Dr. Valicenti @ UC Davis (closer to where I live). He also felt a shorter course of ADT was in order in my case.
jimalong51
in
Prostate Cancer Network
3 years ago
Thank you!
After firing my first RO, I had
IMRT
done with Dr. Wahlen, at Enloe Cancer Center, Chico, Ca. He was willing to follow Dr. Hsu's treatment recommendations, including only 6 months of Lupron, and everything was finished by 12/21/20. I just got my first PSA, .05, and couldn't be happier.
After firing my first RO, I had
IMRT
done with Dr. Wahlen, at Enloe Cancer Center, Chico, Ca. He was willing to follow Dr. Hsu's treatment recommendations, including only 6 months of Lupron, and everything was finished by 12/21/20. I just got my first PSA, .05, and couldn't be happier.
Smallfall
in
Prostate Cancer Network
3 years ago
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