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Board: Cancer: Prostate 05-02-2021, 07:19 AM
Replies: 27
Views: 5,611
Posted By ASAdvocate
Re: Results from my Seventh Prostate Biopsy

That is why the Precision Point transperineal biopsy device is being bought by more and more practices. No OR, no GA, no antibiotics, and no infections. Only 12 cores plus any imaging targets.
Board: Cancer: Prostate 04-20-2021, 07:41 AM
Replies: 8
Views: 1,077
Posted By ASAdvocate
Re: My focal Cryoablation experience

The Varian Truebeam is a competitor of Accuray’s Cyberknife. It can perform IMRT, SBRT, and VMAT. A recent article. Dr. Kishan has also done a lot of work and research with Cyberknife.
...
Board: Cancer: Prostate 04-19-2021, 09:26 PM
Replies: 8
Views: 1,077
Posted By ASAdvocate
Re: My focal Cryoablation experience

Focal cryotherapy sounds good, but it just has not shown good non-recurrence results.

On the other hand, SBRT/Cyberknife is reporting impressive non-recurrence stats, probably better than any...
Board: Cancer: Prostate 04-16-2021, 12:54 PM
Replies: 9
Views: 1,555
Posted By ASAdvocate
Replace Transrectal Biopsies with Transperineal

Howard Wolinsky, a long time prostate cancer patient activist, has asked me to help spread his petition for the replacement of transrectal biopsies with the new, simplified, transperineal procedures....
Board: Cancer: Prostate 04-07-2021, 01:50 PM
Replies: 27
Views: 5,611
Posted By ASAdvocate
Results from my Seventh Prostate Biopsy

Last Friday I had biopsy number seven as part of my twelve years in Johns Hopkins’ Active Surveillance program. This biopsy was different, as I requested the imaging be done in real time using the...
Board: Cancer: Prostate 02-15-2021, 07:44 AM
Replies: 18
Views: 8,038
Posted By ASAdvocate
Re: Worry with PSA of .03 3.5 years after surgery?

This is out of my experience, but I believe that the official demarcation for recurrence after RP is .2. Some specialists will recommend considering salvage treatment at .1.

But, .03 is far below...
Board: Cancer: Prostate 02-12-2021, 06:16 PM
Replies: 10
Views: 2,625
Posted By ASAdvocate
Re: Very Low Risk of Secondary Cancer After Radiation for Prostate Cancer - Low Enoug

Jim, I debate this “secondary cancers from radiation” almost everyday on other forums. I ask the surgery advocate who posted to provide a link to support his statement. Often they do, and often the...
Board: Cancer: Prostate 02-07-2021, 08:15 PM
Replies: 11
Views: 5,852
Posted By ASAdvocate
Re: A question on nerve sparing for radical prostatectomy

Studies have shown about a 35 percent recurrence rate after radical prostatectomy for unfavorable intermediate risk men. Also, the same amount of men are choosing radiation as are choosing surgery.
...
Board: Cancer: Prostate 01-31-2021, 03:55 PM
Replies: 9
Views: 1,814
Posted By ASAdvocate
Re: FNG with PC

It the combination of beam radiation and a brachytherapy boost fails, the cancer was probably already outside the prostate, so surgery will not be done. A PSMA scan followed by targeted radiation of...
Board: Cancer: Prostate 01-10-2021, 03:21 PM
Replies: 7
Views: 3,331
Posted By ASAdvocate
Re: ADT, Gleason 8, Radiation vs. Rad Prostatectomy

There have been studies showing good non-recurrence results after a combination of beam radiation with a brachytherapy boost, with or without ADT. That combination of radiation is termed BBT. An...
Board: Cancer: Prostate 01-01-2021, 08:54 AM
Replies: 17
Views: 7,365
Posted By ASAdvocate
Re: proton therapy vs cleveland clinic

In a word, no.

Every six months or so, I post a comment on various forums that I have never heard/read a first-hand account of any man who had PBT for prostate cancer who regretted doing it. I...
Board: Cancer: Prostate 01-01-2021, 01:30 AM
Replies: 17
Views: 18,356
Posted By ASAdvocate
Re: Newly Diagnosed

Excellent. I have been in that program since 2009. It has the best statistics for retention and almost no prostate cancer mortality.

You will be in good hands.
Board: Cancer: Prostate 12-23-2020, 07:01 PM
Replies: 10
Views: 4,371
Posted By ASAdvocate
Re: Prostate cancer - newbie - trying to decide

Be careful reading studies about radiation toxicities. There were problems before the age of modern RT, which began about 2004. Since then, beam RT (IMRT, SBRT, and protons) have made great...
Board: Cancer: Prostate 12-15-2020, 06:59 AM
Replies: 17
Views: 18,356
Posted By ASAdvocate
Re: Newly Diagnosed

A formal AS program would require an mp-MRI six months after the diagnostic biopsy, and then a confirmatory targeted plus systematic biopsy to reduce the chances that the first one missed more...
Board: Cancer: Prostate 11-28-2020, 10:05 AM
Replies: 33
Views: 32,974
Posted By ASAdvocate
Re: Surgical removal vs. EBRT

Newly diagnosed men are choosing active surveillance, surgery, and radiation in equal numbers, There is no gold standard. Some men with G(3+4) do active surveillance, but that has more risk than for...
Board: Cancer: Prostate 11-14-2020, 04:03 PM
Replies: 3
Views: 2,832
Posted By ASAdvocate
Free Webinars on Active Surveillance

These free and highly informative seminars are for men on, or considering, active surveillance. There is a limit of 500 registrants, so sign up soon if you are interested

AnCan and UsToo are...
Board: Cancer: Prostate 10-12-2020, 04:17 PM
Replies: 13
Views: 9,787
Posted By ASAdvocate
Re: 75 years old started treatment for prostate cancer

He is having a brachytherapy boost to his IMRT treatment. It has a very impressive non-recurrence record.

https://www.medpagetoday.com/hematologyoncology/prostatecancer/71560
Board: Cancer: Prostate 10-07-2020, 05:32 PM
Replies: 1
Views: 1,194
Posted By ASAdvocate
Re: Lessons - 2020 PCRI Conference: #3 - High Resolution Micro-Ultrasound Biopsies

Thanks, JIm.

Some of the biggest objections to MRI are the contrast, expensive facility, and claustrophobic environment. Some of the biggest objections to biopsies are infections and ineffective...
Board: Cancer: Prostate 08-01-2020, 06:04 AM
Replies: 3
Views: 1,680
Posted By ASAdvocate
Re: “ExoDx” – Impressive New Urine Test for Biopsy Decision Making!

Here's the link:

https://ancan.org/event/active-surveillance-prostate-cancer-webinar-series-1-dr-peter-carroll-as-beyond/
Board: Cancer: Prostate 05-03-2020, 04:46 PM
Replies: 7
Views: 4,867
Posted By ASAdvocate
Re: SABR for Metastatic PCa

Jim,

SABR is MSKCC's version of SBRT. I think that Dr. Zelensky has published ten year results for it. He evidently considers it enhanced enough to deserve it own name.
Board: Cancer: Prostate 04-01-2020, 05:40 AM
Replies: 17
Views: 2,840
Posted By ASAdvocate
New Active Surveillance Study

A new study of Active Surveillance for Grade Group 1 men with 5, 10, and 15 year results. The results should settle any doubts about the safety of AS.
...
Board: Cancer: Prostate 03-23-2020, 08:45 AM
Replies: 6
Views: 1,692
Posted By ASAdvocate
Re: Termination rates and reclassification of AS patients

These results are more than twice as pessimistic for AS as any other known study.
This statement of intent explains it:

"Based on the available data at that time, a randomized trial (PREFERE) was...
Board: Cancer: Prostate 03-13-2020, 08:01 AM
Replies: 44
Views: 20,090
Posted By ASAdvocate
Re: Lack of Evidence That Surgery Is As Good As Radiation for Higher-Risk PC Patients

PF, Regrettably, You don't know Jim personally, as I do. He is a pillar of our area prostate cancer support group, and is indefatigable in his efforts to counsel and educate newly diagnosed and...
Board: Cancer: Prostate 03-02-2020, 11:23 AM
Replies: 25
Views: 15,380
Posted By ASAdvocate
Re: Just Had 1st Meeting with my RO

The T2a is detemined by a DRE feeling a tumor on one-half or less of one side of the prostate.

The TNM staging system is well defined and published by the National Cancer Institute at NIH.
Board: Cancer: Prostate 02-23-2020, 02:45 PM
Replies: 62
Views: 35,891
Posted By ASAdvocate
Re: Advantage of RP over RT for Subgroups of High-Grade PCa

Prostate free commented:

“Men choosing RP are dismissed as "want to get it out" types which is an inaccurate description painting us emotional, fearful, and medically irrational.”

Well, I do...
Board: Cancer: Prostate 02-05-2020, 10:46 AM
Replies: 38
Views: 4,616
Posted By ASAdvocate
Re: active surveillance - path forward

Jim,

ISZ had a very unusual case, which I followed on the former site. It appeared that his tests were conflicted for a very long time. He took a beating from some of the "don't deny or delay"...
Board: Cancer: Prostate 01-26-2020, 06:56 PM
Replies: 24
Views: 4,198
Posted By ASAdvocate
Re: "You Have Cancer"

Since you were just diagnosed last week, you have made your treatment choice quite quickly. Often, the advice is to consult with a urologist, a radiation oncologist, and a medical oncologist before...
Board: Cancer: Prostate 01-22-2020, 07:29 PM
Replies: 24
Views: 3,201
Posted By ASAdvocate
Re: Psa prostrate Levels

There some risks with trauma, infection, and even sepsis from trans-rectal prostate biopsies, which are still used by about 90 percent of urologists.

Two of my six caused trauma and a tripling of...
Board: Cancer: Prostate 01-22-2020, 04:44 PM
Replies: 24
Views: 3,201
Posted By ASAdvocate
Re: Psa prostrate Levels

PSA can jump from benign enlargement, inflammation, or infection. It can easily go above 10 from any of those issues.

About 65 percent of initial biopsies are negative. Try not to get too far...
Board: Cancer: Prostate 01-08-2020, 09:14 AM
Replies: 12
Views: 1,294
Posted By ASAdvocate
Re: HDR Brachytherapy

SubDenis is your man. Almost two years for him.
Board: Cancer: Prostate 01-02-2020, 12:38 PM
Replies: 41
Views: 7,378
Posted By ASAdvocate
Re: First post - My history and where do I go from here

The understanding of the nature of Gleason 6 and the basic protocols of active surveillance are not new, as both Johns Hopkins and Sunnybrook started their AS programs in 1994. Yes, acceptance by...
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