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Imaging Guidelines - Salvage IMRT Planning
I'm planning to start my post-op salvage treatment after my PSA breached 0.1 few weeks ago. I'm OK with the extent of the treatment proposed, which is 5 weeks of IMRT (VMAT) to the prostatic fossa and pelvic LNs. However, I'm not confident with the accuracy of radiation delivery to the target area. Knowing
I'm planning to start my post-op salvage treatment after my PSA breached 0.1 few weeks ago. I'm OK with the extent of the treatment proposed, which is 5 weeks of IMRT (VMAT) to the prostatic fossa and pelvic LNs. However, I'm not confident with the accuracy of radiation delivery to the target area. Knowing
Rams91
in
Prostate Cancer Network
9 months ago
Health Anxiety
I am a hypochondriac. I don't invent my symptoms (a lump here, a funny mole there), I get in a panic until I get resolution. I had an elevated PSA in September - not past the limit usually set, but higher and my Dr's said they wanted to check further. I'm waiting for my 3rd blood test (a much more
I am a hypochondriac. I don't invent my symptoms (a lump here, a funny mole there), I get in a panic until I get resolution. I had an elevated PSA in September - not past the limit usually set, but higher and my Dr's said they wanted to check further. I'm waiting for my 3rd blood test (a much more
Worrier1960
in
Anxiety and Depression Support
7 months ago
5 months after stopping the 4 mos of taking orgovyx still very symptomatic of low t (miserable)..told t may never recover (79),take trt? ?
Stopped taking 4 months of orgovyx may 28th. It is now 5 months after stop taking pills. Still very symptomatic of low t, (i.e. fatigue getting worse,(tired as hell) , cognitive issues getting worse, weight gain, (exercising but still), joint aches, sugars climbing...MISERABLE. need my life back..
Stopped taking 4 months of orgovyx may 28th. It is now 5 months after stop taking pills. Still very symptomatic of low t, (i.e. fatigue getting worse,(tired as hell) , cognitive issues getting worse, weight gain, (exercising but still), joint aches, sugars climbing...MISERABLE. need my life back..
JWS13
in
Advanced Prostate Cancer
7 months ago
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Metastasized to Bones
I have been seeing post saying poeple being diagnosed with metastasized PC. I was diagnosed with PC metastasized to my bones, after being under urologist care for 18 months I am wondering if poeple who get initially diagnosed with metastasized PC, whether it is because they were not under medical care
I have been seeing post saying poeple being diagnosed with metastasized PC. I was diagnosed with PC metastasized to my bones, after being under urologist care for 18 months I am wondering if poeple who get initially diagnosed with metastasized PC, whether it is because they were not under medical care
hopefull99
in
Advanced Prostate Cancer
7 months ago
taxotere and PSA
adt stopped 9/22, daralutamide mono therapy until 7/23. Three rounds of docetaxel until 7/17/23. PSA rose from 4.9 to 5.1. PSMA scan showed decline in bone Mets. Tried a bit of fasting. Just switched to cabitaxel due to seeming failure of docetaxel based on PSA rise. Wondering if PSA increase was the
adt stopped 9/22, daralutamide mono therapy until 7/23. Three rounds of docetaxel until 7/17/23. PSA rose from 4.9 to 5.1. PSMA scan showed decline in bone Mets. Tried a bit of fasting. Just switched to cabitaxel due to seeming failure of docetaxel based on PSA rise. Wondering if PSA increase was the
CWT53
in
Advanced Prostate Cancer
10 months ago
enzalutamide dosing
I have ealrly stage 4 prostate cancer, have been on lupron for just over 4 months, and enzalutamide Xtandi for just under 4 months. Not enjoying the side effects of 160 mg I reduced my dosage to 80 mg and tolorate it a little better. Every medial professional and non medical professional cautions me
I have ealrly stage 4 prostate cancer, have been on lupron for just over 4 months, and enzalutamide Xtandi for just under 4 months. Not enjoying the side effects of 160 mg I reduced my dosage to 80 mg and tolorate it a little better. Every medial professional and non medical professional cautions me
3step
in
Advanced Prostate Cancer
9 months ago
Just been told I have two years to live.
Just been told I have two years to live. Male, age 73, Eligard injections, Abiraterone and Predisnone for four and a half years, some radiotherapy. PSA levels initially 69, brought down to 7 by Abiraterone. Suddenly stopped working. Went on Radium 233 trial. Never again, and it didn't work. Since then
Just been told I have two years to live. Male, age 73, Eligard injections, Abiraterone and Predisnone for four and a half years, some radiotherapy. PSA levels initially 69, brought down to 7 by Abiraterone. Suddenly stopped working. Went on Radium 233 trial. Never again, and it didn't work. Since then
ChristopherM123
in
Advanced Prostate Cancer
9 months ago
tumor in spleen
my husband is having his spleen out very soon due to 2 tumors. We won’t know for sure if they are cancer until pathology done. He had radiation plus Lupron and has been in remission 2 years. 4 + 4 Psa still non detectable. Tumors picked up on pet scan to check kidney. Radiologist has said rare
my husband is having his spleen out very soon due to 2 tumors. We won’t know for sure if they are cancer until pathology done. He had radiation plus Lupron and has been in remission 2 years. 4 + 4 Psa still non detectable. Tumors picked up on pet scan to check kidney. Radiologist has said rare
Ojsm
in
Advanced Prostate Cancer
7 months ago
Ten Months After All Treatments Ended
My Oncologist stopped my Eligard injections in October of 2022. My August 2023 bloodwork shows that my testosterone has risen from 2.0 to 10.0 in that time. My PSA was <0.1 ten months ago and is now 0.1 (Canadian units). I know that this cancer is a long game, but given my diagnosis in 2020, I am happy
My Oncologist stopped my Eligard injections in October of 2022. My August 2023 bloodwork shows that my testosterone has risen from 2.0 to 10.0 in that time. My PSA was <0.1 ten months ago and is now 0.1 (Canadian units). I know that this cancer is a long game, but given my diagnosis in 2020, I am happy
TottenhamMan
in
Advanced Prostate Cancer
9 months ago
PSMA PET scan
Hello everyone, pardon the simplicity of my question. Is PSMA the same as PET Scan? I ask this because I specifically asked my MO to have a PSMA pet scam but no where in the order or appointment a mention of PSMA pet scan it only says pet scan. I am concerned because MO doesn't seem to be very involved
Hello everyone, pardon the simplicity of my question. Is PSMA the same as PET Scan? I ask this because I specifically asked my MO to have a PSMA pet scam but no where in the order or appointment a mention of PSMA pet scan it only says pet scan. I am concerned because MO doesn't seem to be very involved
Blueribbon63
in
Advanced Prostate Cancer
7 months ago
castration after 7 years of ADT
I have been on Zoladex for nearly 7 years and am fully over any regrets of Chemical castration. My psa is now slowly rising and ghastly taken 2 years from undetectable to 0.65. I am considering surgical castration now as it would mean no more 3 monthly Zoladex injections and a reduced chemical load on
I have been on Zoladex for nearly 7 years and am fully over any regrets of Chemical castration. My psa is now slowly rising and ghastly taken 2 years from undetectable to 0.65. I am considering surgical castration now as it would mean no more 3 monthly Zoladex injections and a reduced chemical load on
Roscoaus2000
in
Advanced Prostate Cancer
7 months ago
lucrin injections v firmagon
Hi Anyone experienced having Lucrin injections .I have been self injected firmagon since march 2022 going from originally PSA of 389 now hovering around 0.08 for the past 5 months with little or no side affects.The professors intern suggested maybe trying Lucrin injections every 3 months.A little
Hi Anyone experienced having Lucrin injections .I have been self injected firmagon since march 2022 going from originally PSA of 389 now hovering around 0.08 for the past 5 months with little or no side affects.The professors intern suggested maybe trying Lucrin injections every 3 months.A little
Brianne07
in
Advanced Prostate Cancer
9 months ago
Pluvicto Failed - Next step
Hello Warriors: Pluvicto has failed. I went through four sessions and had severe side effects of exhaustion and GI problems as well as it seemed to stimulate my foot neuropathy. My PSA went down during injection 2 and 3 but then came back up in 4. Disappointing... I just met my new MO at the Mayo
Hello Warriors: Pluvicto has failed. I went through four sessions and had severe side effects of exhaustion and GI problems as well as it seemed to stimulate my foot neuropathy. My PSA went down during injection 2 and 3 but then came back up in 4. Disappointing... I just met my new MO at the Mayo
Hidden
in
Advanced Prostate Cancer
7 months ago
Relugolix and Apalutamide
Any experience with elevated AST and ALT after being treated with Relugolix and Apalutamide? My AST and ALT were normal on Relugolix for 6 weeks.....added Apalutamide and after 4 weeks my AST and ALT are now 3X previous level. I feel fine. Oncologist is wanting to stop the one of the drugs.....I convinced
Any experience with elevated AST and ALT after being treated with Relugolix and Apalutamide? My AST and ALT were normal on Relugolix for 6 weeks.....added Apalutamide and after 4 weeks my AST and ALT are now 3X previous level. I feel fine. Oncologist is wanting to stop the one of the drugs.....I convinced
GoLowPSA
in
Advanced Prostate Cancer
7 months ago
What a long strange road it's been.
Nov 2007 I had DaVinci surgery Gleason 7. I got the surgeon's notes and he said margins were clear, took s bunch of lymph glands, all clear. Held my dick in his hand and said it would come back. It did, but never quite lost the "happy bladder" and I shot pee about 50% of the time. PSA never went
Nov 2007 I had DaVinci surgery Gleason 7. I got the surgeon's notes and he said margins were clear, took s bunch of lymph glands, all clear. Held my dick in his hand and said it would come back. It did, but never quite lost the "happy bladder" and I shot pee about 50% of the time. PSA never went
bcskibdy
in
Prostate Cancer And Gay Men
7 months ago
PCa spread to Liver
Hi all, My father got diagnosed with metastatic PC in November 2022 with Gleason's score (4+3=7) - Grade Group 3, PSA 235. He was put on triplet therapy right away. And after 6 rounds of Docetaxel his PSA scan came back with significant improvement to lymp and bone mets. And PSA has been v low since
Hi all, My father got diagnosed with metastatic PC in November 2022 with Gleason's score (4+3=7) - Grade Group 3, PSA 235. He was put on triplet therapy right away. And after 6 rounds of Docetaxel his PSA scan came back with significant improvement to lymp and bone mets. And PSA has been v low since
A-rat-22
in
Advanced Prostate Cancer
11 months ago
jaw discomfort
stage 4 PC bone Mets in pelvis diagnosed at 68yrs old ,now 75 yrs old . Started with firmagon every 28 days and exgiva. After about 2yrs got dead jaw syndrome and stopped exgiva. All healed up In about 9 months and never went back on exgiva . All is well 1.5 psa <3 testosterone. Psma cat scans all good
stage 4 PC bone Mets in pelvis diagnosed at 68yrs old ,now 75 yrs old . Started with firmagon every 28 days and exgiva. After about 2yrs got dead jaw syndrome and stopped exgiva. All healed up In about 9 months and never went back on exgiva . All is well 1.5 psa <3 testosterone. Psma cat scans all good
Dannyboy48
in
Advanced Prostate Cancer
9 months ago
PTH and aggressive PCa? I need guidance
Hello, everyone! I can really use some guidance. My husband’s PTH (Parathyroid hormone) has been elevated since his Dx (pre & post treatments) Being that his blood calcium is at normal levels, his MO ruled out Secondary Hyperparathyroidism, and moved on. But that never sat right with me. Why the elevated
Hello, everyone! I can really use some guidance. My husband’s PTH (Parathyroid hormone) has been elevated since his Dx (pre & post treatments) Being that his blood calcium is at normal levels, his MO ruled out Secondary Hyperparathyroidism, and moved on. But that never sat right with me. Why the elevated
K-xo
in
Advanced Prostate Cancer
11 months ago
Into the 4th year, updates and next step
• Aug 2019 Initial diagnosed 4 mets in pelvis area, lymph node involvement. Gleason score 5+5, somatic BRCA 2. Microsatellite stable, TMB 10. Started abiraterone and Zoladex. • Feb 2020 PSA Nadir 0.01 minimum side effects from abi+ADT • April 2020: RT 25 sessions 79 Gy, covering prostate, lymph
• Aug 2019 Initial diagnosed 4 mets in pelvis area, lymph node involvement. Gleason score 5+5, somatic BRCA 2. Microsatellite stable, TMB 10. Started abiraterone and Zoladex. • Feb 2020 PSA Nadir 0.01 minimum side effects from abi+ADT • April 2020: RT 25 sessions 79 Gy, covering prostate, lymph
Juliane314
in
Advanced Prostate Cancer
9 months ago
Intermittent ADT
Hi all,I am wondering what are your views on intermittent ADT? PSMA Pet scan has revealed one met in my ribs...it was treated with SBRT. I was given a 3 month Lupron shot which reduces my PSA to 0.24 ug/l. I'm considering going on IADT....6 months of ADT followed by 6 months break and repeat. Anyone
Hi all,I am wondering what are your views on intermittent ADT? PSMA Pet scan has revealed one met in my ribs...it was treated with SBRT. I was given a 3 month Lupron shot which reduces my PSA to 0.24 ug/l. I'm considering going on IADT....6 months of ADT followed by 6 months break and repeat. Anyone
John347
in
Advanced Prostate Cancer
9 months ago
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