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Experiences with
Intensity modulated radiation therapy (IMRT)
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Add into history for Rise in PSA from breakthecycle to Tan Allen
Diagnosed in June at 55 Brca1 family psa 4.56 2 or 4 out of 12 cores positive Gleason 4 + 3 by urologist Surgeon said can be a 5 from slides hard to tell 5 from 4 Had Hormone therapy - Lupron Now on
IMRT
since November Decision for the amount of time on hormone therapy after I think depends on latest
Diagnosed in June at 55 Brca1 family psa 4.56 2 or 4 out of 12 cores positive Gleason 4 + 3 by urologist Surgeon said can be a 5 from slides hard to tell 5 from 4 Had Hormone therapy - Lupron Now on
IMRT
since November Decision for the amount of time on hormone therapy after I think depends on latest
breakthecycle
in
Advanced Prostate Cancer
3 years ago
2 years of ADT counting from end of IMRT versus first injection 6 months before?
And to further clarify since I haven’t posted in awhile, I had 1 positive lymph node up on the bladder and 6 weeks post prostatectomy my PSA was 0.41 prompting the
IMRT
.
And to further clarify since I haven’t posted in awhile, I had 1 positive lymph node up on the bladder and 6 weeks post prostatectomy my PSA was 0.41 prompting the
IMRT
.
B8ssist
in
Advanced Prostate Cancer
3 years ago
Rise in PSA
Diagnosed in June 2017 at 55 Brca1 family psa 4.56 2 or 4 out of 12 cores positive Gleason 4 + 3 by urologist Surgeon said can be a 5 from slides hard to tell 5 from 4 Had Hormone therapy - Lupron Now on
IMRT
since November Decision for the amount of time on hormone therapy after I think depends
Diagnosed in June 2017 at 55 Brca1 family psa 4.56 2 or 4 out of 12 cores positive Gleason 4 + 3 by urologist Surgeon said can be a 5 from slides hard to tell 5 from 4 Had Hormone therapy - Lupron Now on
IMRT
since November Decision for the amount of time on hormone therapy after I think depends
breakthecycle
in
Prostate Cancer Network
3 years ago
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ADT Vacation - first month being off Firmagon. PSA was .014 & Testos. 3 - After a month vacation - PSA .08 & T159 - any thoughts?
Did HDBrachy with 25 sessions of
IMRT
. I was DX 2 1/2 years ago. This is my first vacation . I'm off all drugs. I've been on Firmagon for 2 1/2 years. Stopped 35 days ago. Small PSA rise and T went up considerably. I still have my prostate. Thoughts welcome
Did HDBrachy with 25 sessions of
IMRT
. I was DX 2 1/2 years ago. This is my first vacation . I'm off all drugs. I've been on Firmagon for 2 1/2 years. Stopped 35 days ago. Small PSA rise and T went up considerably. I still have my prostate. Thoughts welcome
Longterm101
in
Advanced Prostate Cancer
3 years ago
Treatment opinions for my father in India
* I don't trust radiologists here to do SBRT so we are ok with
IMRT
. We do have an option to do proton therapy here but its very expensive and I am not entirely clear if its actually better than
IMRT
.
* I don't trust radiologists here to do SBRT so we are ok with
IMRT
. We do have an option to do proton therapy here but its very expensive and I am not entirely clear if its actually better than
IMRT
.
meowlicious99
in
Advanced Prostate Cancer
3 years ago
When to start
IMRT
and 4 months Eligard and Casodex. PSA was reported to be less than 0.1. Past three years PSA has risen from 0.03 to 0.05. (.03, .04, .04, .05, .02 and .05) PSA as of now has not doubled in three years. MO wants to start treatment if PSA rises to 0.07. Seems a little too early for me. NO?
IMRT
and 4 months Eligard and Casodex. PSA was reported to be less than 0.1. Past three years PSA has risen from 0.03 to 0.05. (.03, .04, .04, .05, .02 and .05) PSA as of now has not doubled in three years. MO wants to start treatment if PSA rises to 0.07. Seems a little too early for me. NO?
Coupe31
in
Advanced Prostate Cancer
3 years ago
Latest PSA 0.019
Treatment with ADT: Lupron, Zytiga, Prednisone in June 2020 followed by
IMRT
to prostate and pelvic nodes. PSA is now 0.019 six months after RT. How long do I need to remain on ADT/Zytiga?
Treatment with ADT: Lupron, Zytiga, Prednisone in June 2020 followed by
IMRT
to prostate and pelvic nodes. PSA is now 0.019 six months after RT. How long do I need to remain on ADT/Zytiga?
dexy1234
in
Advanced Prostate Cancer
3 years ago
Is drug treatment the only way to go?
Had slight PSA rise and had
IMRT
3/2008. PSA still rising with the last being in May 2021 at 6.82. I have drops occasionally over the past 6 years, but have never taken or started any other drug therapy. MRI/CAT/scans show nothing.
Had slight PSA rise and had
IMRT
3/2008. PSA still rising with the last being in May 2021 at 6.82. I have drops occasionally over the past 6 years, but have never taken or started any other drug therapy. MRI/CAT/scans show nothing.
mickeypb
in
Advanced Prostate Cancer
3 years ago
Update after a year on vacation
2018 PSA 23 Gleason 9 Pet CT PSMA SCAN April 20 2018: Bones clear, visceral organs clear ,uptake in prostate escaping the capsule + few pelvic lymph nodes. inoperable May 2018 started Lucrin (after two weeks of bicalutamide) joined by Abiraterone in June 2018 Done genetics tests,BRCA2 positive 25
IMRT
2018 PSA 23 Gleason 9 Pet CT PSMA SCAN April 20 2018: Bones clear, visceral organs clear ,uptake in prostate escaping the capsule + few pelvic lymph nodes. inoperable May 2018 started Lucrin (after two weeks of bicalutamide) joined by Abiraterone in June 2018 Done genetics tests,BRCA2 positive 25
IMRT
dorke
in
Advanced Prostate Cancer
3 years ago
Finally Starting Treatment
IMRT
will follow after two or three months of ADT, that followed by either low or high brachytherapy. Is there anything missing here to get the best outcome?
IMRT
will follow after two or three months of ADT, that followed by either low or high brachytherapy. Is there anything missing here to get the best outcome?
bigdoggatto
in
Prostate Cancer Network
3 years ago
Sequence of radiation and ADT
During this time I will have
IMRT
and seed implants. The literature on when radiation to start is not definitive. The clearest results come from the ASCENDE-RT study in Canada - there the patients had beam radiation 8 months after starting ADT and seeds soon after.
During this time I will have
IMRT
and seed implants. The literature on when radiation to start is not definitive. The clearest results come from the ASCENDE-RT study in Canada - there the patients had beam radiation 8 months after starting ADT and seeds soon after.
conbio
in
Prostate Cancer Network
3 years ago
ED after radiation
I'm 72 3/4, I've had ED for years, adequately controlled with viagra. in late 2020, I had HDR Brachy, 25
IMRT
and 6 months of Lupron.
I'm 72 3/4, I've had ED for years, adequately controlled with viagra. in late 2020, I had HDR Brachy, 25
IMRT
and 6 months of Lupron.
Smallfall
in
Prostate Cancer Network
3 years ago
Rectal Bleeding 1 year after Radiation
From May through July 2020, I had 35 sessions of adjuvant
IMRT
(RP was in fall 2019). My RO told me to expect rectal bleeding after about 18 months. Since my last RO visit 3 months ago, I've been experiencing bleeding off/on, some fairly heavy, during bowel movements.
From May through July 2020, I had 35 sessions of adjuvant
IMRT
(RP was in fall 2019). My RO told me to expect rectal bleeding after about 18 months. Since my last RO visit 3 months ago, I've been experiencing bleeding off/on, some fairly heavy, during bowel movements.
DJBUNK
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
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
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
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
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
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