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Experiences with
Intensity modulated radiation therapy (IMRT)
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Should I Keep Zytiga "In My Hip Pocket?"
UT Southwestern Dr. explained that I would have to go on ADT for 12 to 24 months which would be Lupron plus
IMRT
radiation. After reading Dr. Scholz's book The Key to Prostate Cancer, I went to Los Angeles for a consult.
UT Southwestern Dr. explained that I would have to go on ADT for 12 to 24 months which would be Lupron plus
IMRT
radiation. After reading Dr. Scholz's book The Key to Prostate Cancer, I went to Los Angeles for a consult.
TEBozo
in
Advanced Prostate Cancer
5 years ago
Today's "Report Card" 2 mos. into Zytiga/Pred added to Lupron
Husband 70 yrs (74 now) pacemaker; Agent Orange 9/14: blood in urine; DRE suspicious 11/14: biopsy G 9 (4+5), PSA: 3.32 high Gleason, low PSA, PNI involved Lupron taken for 33 mos (currently on Lupron again after a year hiatus.) 6/15: 9 wks
IMRT
9/15= .14 1/16= .093 4/16= .079 11/16=.05 (nadir
Husband 70 yrs (74 now) pacemaker; Agent Orange 9/14: blood in urine; DRE suspicious 11/14: biopsy G 9 (4+5), PSA: 3.32 high Gleason, low PSA, PNI involved Lupron taken for 33 mos (currently on Lupron again after a year hiatus.) 6/15: 9 wks
IMRT
9/15= .14 1/16= .093 4/16= .079 11/16=.05 (nadir
spouse21
in
Advanced Prostate Cancer
5 years ago
New to the Group, G9, CHEK2c.1100 inherited, suspected but unproven de novo oligometastatic with inconclusive staging work-up
I am now in the middle of 28 courses of
IMRT
TomoTherapy, inclusive of the pelvic lymph nodes, seminal vesicles, and also the sacral lesion as it is in the field adjacent to nodes. Prescribed dose 7240 cGy.
I am now in the middle of 28 courses of
IMRT
TomoTherapy, inclusive of the pelvic lymph nodes, seminal vesicles, and also the sacral lesion as it is in the field adjacent to nodes. Prescribed dose 7240 cGy.
Milkweed
in
Advanced Prostate Cancer
5 years ago
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Post radiation psa levels
Nine months out from
IMRT
my psa results have dropped quarterly from 3.6 to 2.1 to 1.75 but recently only dropped to 1.68 a tiny amount. Apparently the prostate dying is the cause for the decreasing levels.
Nine months out from
IMRT
my psa results have dropped quarterly from 3.6 to 2.1 to 1.75 but recently only dropped to 1.68 a tiny amount. Apparently the prostate dying is the cause for the decreasing levels.
Blaguy
in
Prostate Cancer Network
5 years ago
another TURP after radiation?
I just saw the Urologist who performed an emergency TURP on me (prostate irradiated both with
IMRT
and Brachytherapy)after I was assaulted by a doctor cramming a catheter through my urethra. He is young but very smart. His specialty is robotic surgery.
I just saw the Urologist who performed an emergency TURP on me (prostate irradiated both with
IMRT
and Brachytherapy)after I was assaulted by a doctor cramming a catheter through my urethra. He is young but very smart. His specialty is robotic surgery.
spencoid2
in
Prostate Cancer And Gay Men
5 years ago
I'm new here. Introducing myself.
IMRT
(25 sessions) completed April 25, 2019. Discovered I was BRCA-2 positive - June, 2019. PSA <0.1 (undetectable) at Sept, 2019. Zoledronic acid for osteopenia - Dec., 2019. PSA started to creep up to 0.7 by March, 2020. Added Zytiga April, 2020.
IMRT
(25 sessions) completed April 25, 2019. Discovered I was BRCA-2 positive - June, 2019. PSA <0.1 (undetectable) at Sept, 2019. Zoledronic acid for osteopenia - Dec., 2019. PSA started to creep up to 0.7 by March, 2020. Added Zytiga April, 2020.
Pleroma
in
Advanced Prostate Cancer
5 years ago
More proof that results of SBRT are equivalent to IMRT (yet faster and cheaper)
The randomized comparisons are showing that it is at least as beneficial as
IMRT
, but it takes only 4 or 5 treatments and costs a lot less too. Here are the results of two more randomized clinical trials so far: https://pcnrv.blogspot.com/2019/02/sbrt-has-non-inferior-acute-and-late.html
The randomized comparisons are showing that it is at least as beneficial as
IMRT
, but it takes only 4 or 5 treatments and costs a lot less too. Here are the results of two more randomized clinical trials so far: https://pcnrv.blogspot.com/2019/02/sbrt-has-non-inferior-acute-and-late.html
Tall_Allen
in
Prostate Cancer Network
6 years ago
Questions for follow up visit?
Recently I had a rather large increase in PSA much higher than after brachy
IMRT
years ago. Some of the tests were while I had a PSA and others after self catheterization so who know what is responsible for what part of the PSA rise. here is a list of PSA with dates.
Recently I had a rather large increase in PSA much higher than after brachy
IMRT
years ago. Some of the tests were while I had a PSA and others after self catheterization so who know what is responsible for what part of the PSA rise. here is a list of PSA with dates.
spencoid2
in
Prostate Cancer And Gay Men
5 years ago
HUSBAND'S LATEST PSA AFTER ZYTIGA
Husband 70 yrs (74 now) pacemaker; Agent Orange 9/14: blood in urine; DRE suspicious 11/14: biopsy G 9 (4+5), PSA: 3.32 high Gleason, low PSA, PNI involved Lupron taken for 33 mos (currently on Lupron again after a year hiatus.) 6/15: 9 wks
IMRT
9/15= .14 1/16= .093 4/16= .079 11/16=.05
Husband 70 yrs (74 now) pacemaker; Agent Orange 9/14: blood in urine; DRE suspicious 11/14: biopsy G 9 (4+5), PSA: 3.32 high Gleason, low PSA, PNI involved Lupron taken for 33 mos (currently on Lupron again after a year hiatus.) 6/15: 9 wks
IMRT
9/15= .14 1/16= .093 4/16= .079 11/16=.05
spouse21
in
Advanced Prostate Cancer
5 years ago
Has anyone experienced an under active thyroid while on Lupron? If so, how was it treated?
Cancer found in several lymph nodes and neck of bladder), PSA at diagnosis 12, Gleason 9,
IMRT
fall 2018, has been on Lupron since January 2018 with an undetectable PSA since he began treatment. Recently his thyroid was tested and found to be under active, which can be a Lupron side effect.
Cancer found in several lymph nodes and neck of bladder), PSA at diagnosis 12, Gleason 9,
IMRT
fall 2018, has been on Lupron since January 2018 with an undetectable PSA since he began treatment. Recently his thyroid was tested and found to be under active, which can be a Lupron side effect.
APL1881
in
Advanced Prostate Cancer
6 years ago
Tip for pain during salvage IMRT
After a month of radiation I was getting extreme pain during defecation, particularly bad was uncontrollable spasms in my butt during defecation and even during urination. No one told me about changing diet till now. Anyway, problem fixed, almost instantly, by taking Imodium (with simethicone) which
After a month of radiation I was getting extreme pain during defecation, particularly bad was uncontrollable spasms in my butt during defecation and even during urination. No one told me about changing diet till now. Anyway, problem fixed, almost instantly, by taking Imodium (with simethicone) which
Hidden
in
Advanced Prostate Cancer
6 years ago
PSA and testosterone post radiation
Completed 25
IMRT
(45 Gy) and brachtherapy "boost" (110Gy, 39 seeds) with ongoing Firmagon/Eligard (5 mos thus far. Btw, hate the hormones.) Most recent PSA 0.1 and testosterone <3. Methinks both numbers are unreliable given continued hormone therapy but who knows?
Completed 25
IMRT
(45 Gy) and brachtherapy "boost" (110Gy, 39 seeds) with ongoing Firmagon/Eligard (5 mos thus far. Btw, hate the hormones.) Most recent PSA 0.1 and testosterone <3. Methinks both numbers are unreliable given continued hormone therapy but who knows?
EdinBmore
in
Prostate Cancer And Gay Men
6 years ago
To Go Public or Not
I had 25 sessions of
IMRT
(intensity modulated radiation therapy) at a total dose of 4,500 cGy to both the prostate bed as well as the surrounding lymph nodes, and a final 13 sessions of
IMRT
at total dose of 2,340 cGy to just the prostate bed. That ended about six weeks ago.
I had 25 sessions of
IMRT
(intensity modulated radiation therapy) at a total dose of 4,500 cGy to both the prostate bed as well as the surrounding lymph nodes, and a final 13 sessions of
IMRT
at total dose of 2,340 cGy to just the prostate bed. That ended about six weeks ago.
CaryOn
in
Advanced Prostate Cancer
5 years ago
ADT Holiday to Locate and Zap Metastases?
History: PSA 5.3, RP 2009 Gleason 3+4, Biochemical failure PSA 0.66 and SRT 2012–no benefit, Radboud nano-iron MRI July 2014 nine lymph nodes 4-9 mm in left para-aortic and common iliac, PSA 2.77, Feb/Mar 2015
IMRT
and 4 months degarelix–PSA reached undetectable, degarelix wore off in Oct. 2015, PSA
History: PSA 5.3, RP 2009 Gleason 3+4, Biochemical failure PSA 0.66 and SRT 2012–no benefit, Radboud nano-iron MRI July 2014 nine lymph nodes 4-9 mm in left para-aortic and common iliac, PSA 2.77, Feb/Mar 2015
IMRT
and 4 months degarelix–PSA reached undetectable, degarelix wore off in Oct. 2015, PSA
cigafred
in
Advanced Prostate Cancer
6 years ago
Initial Diagnosis PCa Stage 4 Mets to Bone (Pelvis)
Scheduled for
IMRT
in early April as part of a trial. Am interested in hearing from folks with similar original diagnosis about their treatments and how long it’s been since diagnosis. Thank for your consideration.
Scheduled for
IMRT
in early April as part of a trial. Am interested in hearing from folks with similar original diagnosis about their treatments and how long it’s been since diagnosis. Thank for your consideration.
6357axbz
in
Prostate Cancer Network
6 years ago
PSMA Scan and HU Altered my Treatment Plan
(Back to undetectable PSA with
IMRT
to prostate bed (no ADT) 2nd BCR: February 2018. Current PSA 0.4. PSMA Scan: NIH December 2018 (Expression in 1 pelvic lymph node) Biopsy of lymph node: Last week at NIH found to be positive for PCa.
(Back to undetectable PSA with
IMRT
to prostate bed (no ADT) 2nd BCR: February 2018. Current PSA 0.4. PSMA Scan: NIH December 2018 (Expression in 1 pelvic lymph node) Biopsy of lymph node: Last week at NIH found to be positive for PCa.
Moespy
in
Advanced Prostate Cancer
6 years ago
I'm new here, but been reading for a while! Really need help from all the knowledgeable people here!
RO wanted to do 6 months ADT with 39
IMRT
treatments starting Nov. 2015, with hopes of a cure. We wanted to throw everything at it, so agreed. First PSA after
IMRT
finished, but still had ADT in his system was 0.023 in Apr. 2016, PSA Aug. 2016 <0.015 with all
IMRT
& ADT done. PSA Dec. 2016 <0.015.
RO wanted to do 6 months ADT with 39
IMRT
treatments starting Nov. 2015, with hopes of a cure. We wanted to throw everything at it, so agreed. First PSA after
IMRT
finished, but still had ADT in his system was 0.023 in Apr. 2016, PSA Aug. 2016 <0.015 with all
IMRT
& ADT done. PSA Dec. 2016 <0.015.
sjc2
in
Advanced Prostate Cancer
6 years ago
Metastasis to lung?
Even though CT, MRI, etc. didn't show anything in pelvic area, RO said it was BCR 12/15 & ordered
IMRT
(39) & ADT 2-3/2016. After those treatments PSA <0.1 through 11/18 (last test).
Even though CT, MRI, etc. didn't show anything in pelvic area, RO said it was BCR 12/15 & ordered
IMRT
(39) & ADT 2-3/2016. After those treatments PSA <0.1 through 11/18 (last test).
Lyubov
in
Advanced Prostate Cancer
6 years ago
How to fight IMRT insurance denial????
Hi, I am a young patient (under 25 year old) with cancer on my arm and I am facing a denial by Blue Cross Blue Shield of Illinois to have
IMRT
both my their standard physician and a radiation oncologists (they want me to have the standard treatment) which my doctor has informed me will have serious negative
Hi, I am a young patient (under 25 year old) with cancer on my arm and I am facing a denial by Blue Cross Blue Shield of Illinois to have
IMRT
both my their standard physician and a radiation oncologists (they want me to have the standard treatment) which my doctor has informed me will have serious negative
waltersqsb3
in
Lung Cancer Support
6 years ago
Please help ,gleason score 9
psa after 3 months of
imrt
to pelvic area was .1 and after 6 months it was.16.Then the oncologist suggested adt again.We were not expecting adt though.After 9 months of
imrt
with 1 adt psa came as 0.02.Then we wanted to do a bone scan but instead they did a bone density test and that also came fine.Then
psa after 3 months of
imrt
to pelvic area was .1 and after 6 months it was.16.Then the oncologist suggested adt again.We were not expecting adt though.After 9 months of
imrt
with 1 adt psa came as 0.02.Then we wanted to do a bone scan but instead they did a bone density test and that also came fine.Then
nad95
in
Advanced Prostate Cancer
6 years ago
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