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Intensity modulated radiation therapy (IMRT)
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Interesting report on the efficacy of IMRT on prostate cancer
An 8-year study comparing the results of various cancer treatments concluded that
IMRT
is equal to or in some cases superior to other treatments such as brachytherapy and surgery.
An 8-year study comparing the results of various cancer treatments concluded that
IMRT
is equal to or in some cases superior to other treatments such as brachytherapy and surgery.
Don_1213
in
Advanced Prostate Cancer
4 years ago
Stricture at Bulbar after HDRBT and IMRT - Seeking Advice
A G9, had both HDRBT and
IMRT
in 2017. Also, ADT (Eligard and Zytiga) ended on January 2019. I am in SoCal. March of 2019 had a complete blockage and it was a stricture at Bulbar, Uro did a Direct Visual Internal Urethrotomy and it has been good for about 15 months now.
A G9, had both HDRBT and
IMRT
in 2017. Also, ADT (Eligard and Zytiga) ended on January 2019. I am in SoCal. March of 2019 had a complete blockage and it was a stricture at Bulbar, Uro did a Direct Visual Internal Urethrotomy and it has been good for about 15 months now.
akaipop3ps
in
Advanced Prostate Cancer
4 years ago
PORTOS
I’m beginning week 3 of
IMRT
after a small uptick in my PSA from .01 to .03. Things are going well but in my head I am bugged by the fact that I had a low PORTOS score associated with my DECIPHER GRID.
I’m beginning week 3 of
IMRT
after a small uptick in my PSA from .01 to .03. Things are going well but in my head I am bugged by the fact that I had a low PORTOS score associated with my DECIPHER GRID.
Jmr11820
in
Advanced Prostate Cancer
4 years ago
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Casodex failure? What's next?
Short story: -42 yr old husband had RALP in the summer of 2017 -Undetectable until Jan of 2019 -
IMRT
from April-June of 2019 (in addition to bicalutamide which was supposed to last 2 years) -Undetectable until today (.13 - just updated my profile) We have an appt with his doc, but it’s not until next
Short story: -42 yr old husband had RALP in the summer of 2017 -Undetectable until Jan of 2019 -
IMRT
from April-June of 2019 (in addition to bicalutamide which was supposed to last 2 years) -Undetectable until today (.13 - just updated my profile) We have an appt with his doc, but it’s not until next
pwallace
in
Advanced Prostate Cancer
4 years ago
Bone Mets or Arthritis?
Husband recently completed one week of Cyberknife and five weeks of
IMRT
to the prostate area, followed by one week of Cyberknife to the T7 met. The RO is not particularly concerned about the iliac bone (which he is not sure is cancerous) or the rib met, but he would like to Cyberknife L4.
Husband recently completed one week of Cyberknife and five weeks of
IMRT
to the prostate area, followed by one week of Cyberknife to the T7 met. The RO is not particularly concerned about the iliac bone (which he is not sure is cancerous) or the rib met, but he would like to Cyberknife L4.
Dett
in
Advanced Prostate Cancer
4 years ago
Decision Matrix Conundrum
So I completed
IMRT
to my left hemi-pelvis with boost to 2 nodes there that lit up on Ga-PSMA scan last October. Used adjuvant ADT with degarelix plus estradiol patches. Approximately 5-6 months until T levels recovered.
So I completed
IMRT
to my left hemi-pelvis with boost to 2 nodes there that lit up on Ga-PSMA scan last October. Used adjuvant ADT with degarelix plus estradiol patches. Approximately 5-6 months until T levels recovered.
MateoBeach
in
Advanced Prostate Cancer
4 years ago
Successful treatments after RP, IMRT, and Taxotere?
Anyone aware of examples of long term remissions (years not months) in advanced cases after RP,
IMRT
, AND Taxotere treatments (that is an "and" not an "or")?
Anyone aware of examples of long term remissions (years not months) in advanced cases after RP,
IMRT
, AND Taxotere treatments (that is an "and" not an "or")?
ron_bucher
in
Advanced Prostate Cancer
4 years ago
A Pain in the Butt
I complained about it to my medical oncologist and he had a radiation oncologist zap my sacrum with 800gys of
IMRT
. About two weeks later the pain was gone! Now, many years later, I'm feeling a similar pain in my left butt cheek. Would I be correct in assuming they can radiate my sacrum again?
I complained about it to my medical oncologist and he had a radiation oncologist zap my sacrum with 800gys of
IMRT
. About two weeks later the pain was gone! Now, many years later, I'm feeling a similar pain in my left butt cheek. Would I be correct in assuming they can radiate my sacrum again?
Scoofer33
in
Advanced Prostate Cancer
4 years ago
Rectal problems following HDR and IMRT
Finished HDR and
IMRT
a couple months ago. Since then have had difficulty with bowel movements. GI doc not much help. Colonoscopy a risk due to my age 80. Recently read about a radiation side effect called proctitis which seems to present with the symptoms I’m having.
Finished HDR and
IMRT
a couple months ago. Since then have had difficulty with bowel movements. GI doc not much help. Colonoscopy a risk due to my age 80. Recently read about a radiation side effect called proctitis which seems to present with the symptoms I’m having.
VN6465
in
Advanced Prostate Cancer
4 years ago
“Undetectable”
Hello All, My husband (diagnosed 8/19 with APC - Gleason 9 PSA 77 - stage four with three mets) is nearing completion of radiation treatment for oligometastatic PC (three Cyberknife treatments with subsequent five weeks
IMRT
- seven treatments remaining).
Hello All, My husband (diagnosed 8/19 with APC - Gleason 9 PSA 77 - stage four with three mets) is nearing completion of radiation treatment for oligometastatic PC (three Cyberknife treatments with subsequent five weeks
IMRT
- seven treatments remaining).
Dett
in
Advanced Prostate Cancer
4 years ago
Post IMRT questions
I had
IMRT
about 14 months ago and have been on Lupron for a little longer. My Questions: Had a recent heart attack (minor) and have a history of heart trouble. I believe I read somewhere during my furious research phase at the beginning that Lupron may not be the best choice for heart patients.
I had
IMRT
about 14 months ago and have been on Lupron for a little longer. My Questions: Had a recent heart attack (minor) and have a history of heart trouble. I believe I read somewhere during my furious research phase at the beginning that Lupron may not be the best choice for heart patients.
Stellabell
in
Prostate Cancer Network
4 years ago
A small rise in PSA What do you think of my plan
I'm a 76 1/3 yo that has spent 2 1/4 yrs on Zytiga had
IMRT
, SBRT to the bone and on Xgeva. Psa was <.1 for 8 mos and has risen to .2 Alk Phos looks good. I'm expecting PSA will not go down and plan to try again to get Dexamethasone prescribed in lieu of pred.
I'm a 76 1/3 yo that has spent 2 1/4 yrs on Zytiga had
IMRT
, SBRT to the bone and on Xgeva. Psa was <.1 for 8 mos and has risen to .2 Alk Phos looks good. I'm expecting PSA will not go down and plan to try again to get Dexamethasone prescribed in lieu of pred.
ctflatlander
in
Advanced Prostate Cancer
4 years ago
Fenbendazole probably not working for me
Gleason 3+4, focal PNI PSA undetectable until Oct. 2011 PSA 0.658, Salvage Radiation Sept/Oct 2012 No impact on PSA, RO clueless July 2014, Nano-MRI at Radboud, Netherlands, 8 infected lymph nodes, 4-9 mm, para-aortic left and common iliac right Feb/Mar 2015,
IMRT
Gleason 3+4, focal PNI PSA undetectable until Oct. 2011 PSA 0.658, Salvage Radiation Sept/Oct 2012 No impact on PSA, RO clueless July 2014, Nano-MRI at Radboud, Netherlands, 8 infected lymph nodes, 4-9 mm, para-aortic left and common iliac right Feb/Mar 2015,
IMRT
cigafred
in
Advanced Prostate Cancer
4 years ago
PSA 3.12 after 3/17 radical prostatectomy. Future treatment thoughts?
Guy Jones in Richland, WA.I'm aware there is a Varian Edge system with
IMRT
/IGRT in Richland with Dr. Guy Jones, but have not yet had a consult with him; looks like that's an option. Spokane appears to only have Varian Truebeam and Cyberknife, but no Varian Edge. Your thoughts on RT hardware/ROs?
Guy Jones in Richland, WA.I'm aware there is a Varian Edge system with
IMRT
/IGRT in Richland with Dr. Guy Jones, but have not yet had a consult with him; looks like that's an option. Spokane appears to only have Varian Truebeam and Cyberknife, but no Varian Edge. Your thoughts on RT hardware/ROs?
happycamperguy
in
Advanced Prostate Cancer
4 years ago
Lymphopenia after whole pelvic radiation
To anyone who received whole pelvic radiation: 16 months ago I had HDR brachytherapy followed by
IMRT
and whole pelvic radiation (WPR), after 7 months of lupron and zytiga (+pred) (I just finished 24 months of lupron+Z). 6 months ago I had a whole blood count (WBC) with differential, and in it I saw
To anyone who received whole pelvic radiation: 16 months ago I had HDR brachytherapy followed by
IMRT
and whole pelvic radiation (WPR), after 7 months of lupron and zytiga (+pred) (I just finished 24 months of lupron+Z). 6 months ago I had a whole blood count (WBC) with differential, and in it I saw
BruceSF
in
Advanced Prostate Cancer
4 years ago
Aggressive Clinical Trial Patient at JH
Began clinical trial in September 2019 as follows: Lupron (scheduled to be ongoing for 2 years unless guidelines change) 4 cycles of docetaxel chemo in November 2 months Zytiga 1000mg/day w prednisone 5 mg November-December 37
IMRT
radiation treatments to pelvis and prostate bed completed last
Began clinical trial in September 2019 as follows: Lupron (scheduled to be ongoing for 2 years unless guidelines change) 4 cycles of docetaxel chemo in November 2 months Zytiga 1000mg/day w prednisone 5 mg November-December 37
IMRT
radiation treatments to pelvis and prostate bed completed last
London441
in
Prostate Cancer Network
4 years ago
Secondary Cancer?
IMRT
, Brachytherapy, ADT, Provenge. Recently a mass near the ureter, 4.2cm was seen on a Ct scan. Needle biopsy; carcinoma w/squamous differential. Maybe a secondary cancer, possibly caused by excessive radiation. Getting a second review of slides. Anyone with comments or questions appreciated.
IMRT
, Brachytherapy, ADT, Provenge. Recently a mass near the ureter, 4.2cm was seen on a Ct scan. Needle biopsy; carcinoma w/squamous differential. Maybe a secondary cancer, possibly caused by excessive radiation. Getting a second review of slides. Anyone with comments or questions appreciated.
donnacgorman
in
Advanced Prostate Cancer
5 years ago
Seeking Post-RP Advice for Very High Risk, G9, Low PSA
Two months into the ADT treatment, he would begin a 7-8 week course of daily
IMRT
radiation. Because I already had RP, he said he could only administer an approx. 6000 rad (?) dose. He collected a uPSA which came back at 0.019 with testosterone level of 531.
Two months into the ADT treatment, he would begin a 7-8 week course of daily
IMRT
radiation. Because I already had RP, he said he could only administer an approx. 6000 rad (?) dose. He collected a uPSA which came back at 0.019 with testosterone level of 531.
DJBUNK
in
Advanced Prostate Cancer
5 years ago
What is major source of PSA Expression after ADT Vacation?
Once one has become PSA undetectable, with prostate zapped with
IMRT
, and goes on ADT vacation what is the most likely cause of increased PSA expression? Micro tumors in blood? Remnants of prostate tumor (if any), or existing mets?
Once one has become PSA undetectable, with prostate zapped with
IMRT
, and goes on ADT vacation what is the most likely cause of increased PSA expression? Micro tumors in blood? Remnants of prostate tumor (if any), or existing mets?
6357axbz
in
Advanced Prostate Cancer
5 years ago
Stopping Casodex before stopping Lupron
I am on day 30/34 of
IMRT
Salvage Radiation. I started Bicalutimide just prior to starting Leuprolide Acetate back in November. I have tolerated the ADT treatment fairly well with minimal side effects.
I am on day 30/34 of
IMRT
Salvage Radiation. I started Bicalutimide just prior to starting Leuprolide Acetate back in November. I have tolerated the ADT treatment fairly well with minimal side effects.
SooHwa99
in
Advanced Prostate Cancer
5 years ago
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