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Diagnostic Imaging Not Yet Enough for Biopsy-Free Radical Prostatectomy - MedPage Today, November 27, 2023
From the lead-in to the article: [i]
"While prostate-specific membrane antigen (PSMA)-PET may improve diagnostic accuracy in suspected prostate cancer, it may not be accurate enough to skip the biopsy when considering
prostatectomy
."
From the lead-in to the article: [i]
"While prostate-specific membrane antigen (PSMA)-PET may improve diagnostic accuracy in suspected prostate cancer, it may not be accurate enough to skip the biopsy when considering
prostatectomy
."
cujoe
in
Fight Prostate Cancer
9 months ago
Walsh's Folly?
Now let's go out of the box... suppose we could substitute
radical
prostatectomy
for the orchiectomy, would there be any change in the plotted outcomes or conclusion?
Now let's go out of the box... suppose we could substitute
radical
prostatectomy
for the orchiectomy, would there be any change in the plotted outcomes or conclusion?
VoxHope
in
Advanced Prostate Cancer
4 months ago
Recurrent prostate cancer at 5 months after radical prostatectomy, with psa up to 0.2. PSMA and MRI negative. Now on Leuprolide and Nubeqa.
My Gleason was 9. Incontinence has been an issue since the RP and even though it has improved still leaked around 30 ml a day. Delaying radiation that I was recommended by one institution but some Oncologists say to delay radiation for more recovery. Even though my PSA is 0.01 on the meds, i worry
My Gleason was 9. Incontinence has been an issue since the RP and even though it has improved still leaked around 30 ml a day. Delaying radiation that I was recommended by one institution but some Oncologists say to delay radiation for more recovery. Even though my PSA is 0.01 on the meds, i worry
Chipichape1
in
Advanced Prostate Cancer
8 days ago
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Recent diagnosis questions & concerns, please respond to any that you can
Concern 10: Seeing the experience of former NIH director Francis Collins, MD, PhD, who was on active surveillance for 5 years and then had
radical
prostatectomy
after progression.
Concern 10: Seeing the experience of former NIH director Francis Collins, MD, PhD, who was on active surveillance for 5 years and then had
radical
prostatectomy
after progression.
G6AS
in
Prostate Cancer Network
3 months ago
Do Sulforaphane, Melatonin, and Cayenne Pepper work?
I have had a
radical
prostatectomy
, chemo (docetaxel - 6 infusions 3 weeks apart), radiation (38 doses) and Lupron (18 months). I am done with all treatment for now. PSA minimum was 0.02, now at 0.04.
I have had a
radical
prostatectomy
, chemo (docetaxel - 6 infusions 3 weeks apart), radiation (38 doses) and Lupron (18 months). I am done with all treatment for now. PSA minimum was 0.02, now at 0.04.
SisuMike
in
Advanced Prostate Cancer
9 months ago
FDA Clearance of FK-PC101, a Novel Personalized Prostate Cancer Immunotherapy
"The trial, CELLVX-230, is a randomized, multicenter, open-label study of irradiated autologous cellular vaccine in men with high-risk prostate cancer post-
radical
prostatectomy
.
"The trial, CELLVX-230, is a randomized, multicenter, open-label study of irradiated autologous cellular vaccine in men with high-risk prostate cancer post-
radical
prostatectomy
.
Maxone73
in
Advanced Prostate Cancer
7 months ago
Does anyone have experience of Radical Prostatectomy surgery or External Beam Therapy (with hormone therapy)?
Now I have been diagnosed with localised T2 Prostate Cancer and the two courses of treatment are a
Radical
Prostatectomy
or External Beam radiotherapy (with hormone treatment). Research time….
Now I have been diagnosed with localised T2 Prostate Cancer and the two courses of treatment are a
Radical
Prostatectomy
or External Beam radiotherapy (with hormone treatment). Research time….
ken-b
in
British Heart Foundation
9 months ago
Circulating Lipid Profiles Associated With Resistance to Androgen Deprivation Therapy in Localized Prostate Cancer
ADT, androgen deprivation therapy; ARPI, androgen receptor pathway inhibitors; RP,
radical
prostatectomy
.
ADT, androgen deprivation therapy; ARPI, androgen receptor pathway inhibitors; RP,
radical
prostatectomy
.
podsart
in
Advanced Prostate Cancer
7 days ago
Question, each month with rising PSA, when do I do a pet scan
Diagnosed 06/2022 Gleason 8/9 Oligo metastatic 3 lytic lesions two resolved Started Firmagon 7/6/2022 Zytiga with Prednisone 7/20/2022 currently still on these meds Docetaxel Chemotherapy on 08/11/2022 End Docetaxel Chemotherapy on 12/23//2022 Completed 6 cycles @ 21 Days Had Davinci
Radical
Diagnosed 06/2022 Gleason 8/9 Oligo metastatic 3 lytic lesions two resolved Started Firmagon 7/6/2022 Zytiga with Prednisone 7/20/2022 currently still on these meds Docetaxel Chemotherapy on 08/11/2022 End Docetaxel Chemotherapy on 12/23//2022 Completed 6 cycles @ 21 Days Had Davinci
Radical
Shorehousejam
in
Advanced Prostate Cancer
7 months ago
Had Davinci RP w/ LNR 8 Reoccurrence in Bed, PSA Rising 0.77 CANNOT Do Radiation active Crohn Disease / Colitis, What about Cryotherapy?
After resolving incontinence after RP w/ PLNR (8) on 03/14/2033 Had Davinci
Radical
Prostatectomy
with Lymph Node Removal on 03/14/2023 Only 8 Lymph Nodes Removed, according to operating urologist surgeon that is what he saw to remove I brought onto my team a second Medical Oncologist from Cancer
After resolving incontinence after RP w/ PLNR (8) on 03/14/2033 Had Davinci
Radical
Prostatectomy
with Lymph Node Removal on 03/14/2023 Only 8 Lymph Nodes Removed, according to operating urologist surgeon that is what he saw to remove I brought onto my team a second Medical Oncologist from Cancer
Shorehousejam
in
Advanced Prostate Cancer
5 months ago
Antiandrogen Withdrawal Syndrome After Stopping Enzalutamide in Metastatic Castration-Resistant Prostate Cancer: Two Case Reports & Review
He was submitted to
radical
prostatectomy
, and the tumor was staged as pT3a, pN0, cM0, and R0 surgery, with a detectable PSA after surgery (0.45 ng/mL). He underwent postoperative radiotherapy in December 2013 (external radiotherapy to the pelvic region, total radiation of 66 Gy in 33 fractions).
He was submitted to
radical
prostatectomy
, and the tumor was staged as pT3a, pN0, cM0, and R0 surgery, with a detectable PSA after surgery (0.45 ng/mL). He underwent postoperative radiotherapy in December 2013 (external radiotherapy to the pelvic region, total radiation of 66 Gy in 33 fractions).
God_Loves_Me
in
Advanced Prostate Cancer
2 months ago
Greater consumption of healthful plant-based foods associated with modestly higher scores in quality-of-life among patients with PCa
Results The median age at prostate cancer diagnosis was 68 years; 48% of patients underwent
radical
prostatectomy
, and 35% received radiation as primary therapy. The median time from diagnosis/treatment to first the quality-of-life questionnaire was 7.0 years.
Results The median age at prostate cancer diagnosis was 68 years; 48% of patients underwent
radical
prostatectomy
, and 35% received radiation as primary therapy. The median time from diagnosis/treatment to first the quality-of-life questionnaire was 7.0 years.
Graham49
in
Advanced Prostate Cancer
6 months ago
Is there any order to when new medications or PARP inhibitor are tried?
Prostatectomy
with Lymph Node Removal on 03/14/2023 Only 8 Lymph Nodes Removed, according to operating urologist surgeon that is what he saw to remove Germline; BLM missing a copy Genome: Tier 1 ATM Frameshift Alteration Mass on prostate bed I haven’t radiated as medical oncologist thinks
Prostatectomy
with Lymph Node Removal on 03/14/2023 Only 8 Lymph Nodes Removed, according to operating urologist surgeon that is what he saw to remove Germline; BLM missing a copy Genome: Tier 1 ATM Frameshift Alteration Mass on prostate bed I haven’t radiated as medical oncologist thinks
Shorehousejam
in
Fight Prostate Cancer
7 months ago
Need practical advice re:RRP for 76 year-old in fair shape
Hi everyone, My husband, just turned 76, is having a robotic
radical
prostatectomy
on 5/13. He is (so far) Gleason 4+3, high Decipher score., clean PSMA.
Hi everyone, My husband, just turned 76, is having a robotic
radical
prostatectomy
on 5/13. He is (so far) Gleason 4+3, high Decipher score., clean PSMA.
AliceinW57
in
Prostate Cancer Network
4 months ago
Input on Timing of Initial ADT after RP/SRT Failed
Jan 2011 —
Radical
prostatectomy
. No seminal vesical or lymph node involvement; no extra capsular extension; negative margins; pathological Gleason 3 + 4. Sep 2015 — PSA went from undetectable (<0.03 ng/mL using this lab) to 0.05 ng/mL.
Jan 2011 —
Radical
prostatectomy
. No seminal vesical or lymph node involvement; no extra capsular extension; negative margins; pathological Gleason 3 + 4. Sep 2015 — PSA went from undetectable (<0.03 ng/mL using this lab) to 0.05 ng/mL.
dans_journey
in
Advanced Prostate Cancer
4 months ago
Overwhelmed, what do I do next? Mutations In my Germline & a Tier 1 ATM Frameshift Alteration
I’m on Firmagon monthly, Zytiga with Prednisone, Metformin and Skyrizi for both plaque Psoriasis and a recent bout with colitis after discovering an h pylori infection since July 2023 I had a Davinci
radical
prostatectomy
with pelvic lymph node removal, last March 2023 Gleason 8/9 Oligo metastatic
I’m on Firmagon monthly, Zytiga with Prednisone, Metformin and Skyrizi for both plaque Psoriasis and a recent bout with colitis after discovering an h pylori infection since July 2023 I had a Davinci
radical
prostatectomy
with pelvic lymph node removal, last March 2023 Gleason 8/9 Oligo metastatic
Shorehousejam
in
Advanced Prostate Cancer
7 months ago
Big decsions regarding SRT/ADT due to BCR post RP
My husband was had a robotic
radical
prostatectomy
1/2019 with no major complications or side effects. Gleason 4+3, negative margins and no positive lymph nodes. There was cribiform invasion of a nerve but all margins of the prostate and 0/13 LN were negative after surgery.
My husband was had a robotic
radical
prostatectomy
1/2019 with no major complications or side effects. Gleason 4+3, negative margins and no positive lymph nodes. There was cribiform invasion of a nerve but all margins of the prostate and 0/13 LN were negative after surgery.
shihtzu124
in
Advanced Prostate Cancer
9 months ago
Big decisions regarding SRT and ADT for BCR
My husband was had a robotic
radical
prostatectomy
1/2019 with no major complications or side effects. Gleason 4+3, negative margins and no positive lymph nodes. There was cribiform invasion of a nerve but all margins of the prostate and 0/13 LN were negative after surgery.
My husband was had a robotic
radical
prostatectomy
1/2019 with no major complications or side effects. Gleason 4+3, negative margins and no positive lymph nodes. There was cribiform invasion of a nerve but all margins of the prostate and 0/13 LN were negative after surgery.
shihtzu124
in
Prostate Cancer Network
9 months ago
ADT and bone health
I have been on ADT after
radical
Prostatectomy
for over 14 months and to date aside from the sexual libido loss I have had very little side effects. I have always been a health / exercise buff & continue to exercise everyday to maintain my mental & physical health and so far very good results.
I have been on ADT after
radical
Prostatectomy
for over 14 months and to date aside from the sexual libido loss I have had very little side effects. I have always been a health / exercise buff & continue to exercise everyday to maintain my mental & physical health and so far very good results.
Stevegr
in
Advanced Prostate Cancer
10 months ago
Prostate-as-"PCa Factory" - Reasons for Removal?
While reading the bio of forum member, I noted the following advantage to
radical
prostatectomy
(paraphrased):"
No more PCa factory
" As I have written in multiple posts I am enjoying very effective
triplet therapy
against my high volume metastatic prostate cancer.
While reading the bio of forum member, I noted the following advantage to
radical
prostatectomy
(paraphrased):"
No more PCa factory
" As I have written in multiple posts I am enjoying very effective
triplet therapy
against my high volume metastatic prostate cancer.
JohnInTheMiddle
in
Advanced Prostate Cancer
7 months ago
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