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Individual risk, early detection, coexisting illness, suspicious biopsy, just diagnosed. What is my risk? How should I be treated?
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Latest Activity: Oct 6
Discussion Forum
New Prostate Cancer Associated with Supplements for Vigor and With Loss of Semen Volume 1 Reply
A 42-y old Afro-Caribbean male presents with PSA of 17 ng/ml and a cT2a nodule at the left base. A biopsy shows Gleason 6 and Gleason 7 cores in 5 of 6 regions of the prostate. Preliminary metastat...
Started by Arnon Krongrad, MD. Last reply by robert john arthy Oct 6.
Newly Diagnosed / Looking for best treatment option 5 Replies
Hi Everybody, May 2009: Physical and 1st PSA Test from General Doctor June 11 2009 PSA: 10.9 Treated for Prostititis with antibiotic CIPRO July 2009 PSA 8.6 / Free PSA .5 July 2009 I seek out anoth...
Tagged: Huntington, Wilson, Memorial, Gleason, PSA
Started by Greg Dohlen. Last reply by Greg Dohlen Aug 30.
Is there a standard of treatment for low PSA, high volume? 20 Replies
Is it true that men with a high volume of cancer and a low PSA are more likely to have a more aggressive form of the disease? It makes sense based on what I have heard but have there been any studi...
Started by Kathy Meade. Last reply by Daniel M. Reinhart Aug 19.
Small Volume Gleason 6 3 Replies
I may have written about this patient before, so please bear with me if this is partly redundant. Some of this followup is new. A 72-y old reasonably healthy man had a 70 cc, smooth prostate and P...
Started by Arnon Krongrad, MD. Last reply by Arnon Krongrad, MD Aug 1.
PSA as a tool for diagnosis 1 Reply
From an analysis in Uro Today: There was some indication of a higher test sensitivity for aggressive cancers (0.85-0.98 for non-organ-confined cases or Gleason 8-10) and for the second screening r...
Started by Kathy Meade. Last reply by Charles (Chuck) Maack Jul 25.
Questions 2 Replies
Ok im all read up - and Im swamped in data, stats, opinions and questions. 1. I understand grade T2c means 'both lobes have been affected' and the gleason scores can have different meanings if adde...
Started by Nat. Last reply by Nat Jul 4.
Decision making. What treatment? 6 Replies
Mr D is a 64-year-old man with newly diagnosed prostate cancer. He lives in the greater-Boston area and has commercial insurance. Mr D’s prostate cancer was diagnosed incidentally. When his PSA [pr...
Started by Kathy Meade. Last reply by Allan Berele Jun 25.
Quack Donsbach Arrested 7 Replies
Kurt Donsbach, whose record of quackery is extensive, was recently arrested in Southern California (USA) and at last report is being held in jail in lieu of $1,500.000 bail. One of the concoctions...
Started by Steve J. Last reply by Mike Simmons Jun 5.
Can screening reduce advanced prostate cancer by 54%? 34 Replies
I'm not keen on headlines like that, but a significant study has been published today in the British Journal of Cancer: Mean sojourn time, overdiagnosis, and reduction in advanced stage prostate c...
Tagged: screening, cancer, advanced, prostate, psa
Started by Richard L.. Last reply by Anne Apr 22.
The use of MRI in prostate cancer management is controversial... 6 Replies
An important article has just been published: Is it time to consider a role for MRI before prostate biopsy? Ahmed, H.U. et al. Nature Reviews Clinical Oncology 6, 197-206 (April 2009) The use of ...
Tagged: Cancer, Prostate, Imaging, Diagnosis, MRI
Started by Richard L.. Last reply by Allan Berele Apr 20.
Nanotechnology for detecting and treating prostate cancer 5 Replies
There are several press releases today on research work at the University of Leicester (England); one of them is below and I've requested more detailed information from their team: Pioneering medi...
Started by Richard L.. Last reply by Richard L. Apr 17.
The recent 'NEJM' screening reports 12 Replies
I’ve been trying to unravel the two recently published studies on screening in the NEJM – not easy for a layman. I’ve one question about the PLCO paper (well, I’ve got a dozen, but this is a start)...
Started by Richard L.. Last reply by Richard L. Apr 16.
Provenge 11 Replies
For those that are not yet aware Dendreon today announced that its IMPACT trial for the immunotherapy Provenge hit the primary enpoint of increased surivival for HRPC/AIPC patients. This therapy s...
Started by Kerry M. Donahue. Last reply by Kerry M. Donahue Apr 15.
Overdiagnosis...is that the real issue? 27 Replies
The results of the PLCO trial and the resulting clamor against the value of PSA testing that it generated caused me to do some research. There is such an opposition to PSA testing and an unfounded ...
Started by Ralph Valle. Last reply by Steve Z Apr 10.
Whats your thoughts on this one 8 Replies
Hello eveyone.. just returned home from my wedding/honeymoon. So nice to leave reality for ten days. Now that iam home waiting for my scan results on thurs. i thought id run this by you all. A frie...
Started by turner. Last reply by E. Michael D. ("Mike") Scott Mar 31.
Prostate Cancer and Multiple Sclerosis 17 Replies
Just wondering if anyone out there has MS and Prostate Cancer. My husband is leaning toward the DiVinci surgery because he doesn't want to weaken his already weak body with radiation.
Started by Vicki for Dennis. Last reply by Vicki for Dennis Mar 28.
having second thoughts 2 Replies
I'm having surgery in 2 weeks, and I'm naturally anxious about the procedure, the outcome, the side effects. With all these recent reports of overdiagnosis, and "clinically insignificant cancer", I...
Started by Michael Farbowitz. Last reply by Angela Jenkins Mar 25.
What to tell friends and coworkers 12 Replies
I'm having RRP on 4/6, and I'm not sure what to tell people. I was thinking of calling it "abdominal surgery". It's not that I'm ashamed of my diagnosis, I'm 41 and not keen about being asked about...
Started by Michael Farbowitz. Last reply by Kathy Meade Mar 24.
Prostate Cancer Treatment and Patient Survival 36 Replies
It is commonly assumed by newly diagnosed patients that treatment extends survival. Unfortunately, there is VERY little data to support this theory, which is why many doctors believe that early tre...
Started by E. Michael D. ("Mike") Scott. Last reply by E. Michael D. ("Mike") Scott Mar 24.
Finasteride 7 Replies
Dr. Kongrad I saw this intersting article today. Is this something patients should consider taking if they are at high risk? (AP) For the first time, leading medical groups are advising millions ...
Started by Kerry M. Donahue. Last reply by E. Michael D. ("Mike") Scott Mar 6.
Comment Wall (13 comments)
Add a Comment
13 Comments
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Comment by Kathy Meade on March 25, 2009 at 11:44am -
some of you may be interested in the issues in the survivorship group. I just posted a quote from the NCI Bulletin about memory issues that may be relevant to you.
Click here to go to the Survivorship group.
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Comment by Juergen Koehn on March 4, 2009 at 2:28pm -
Michael F,Tell it as it is,educate other about PC,there is NO SHAME ,you might save a life in the process.
Juergen Koehn
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Comment by Jean on February 9, 2009 at 9:33pm - My husband was asked if he wanted a bone scan prior to surgery. Our thoughts are to have a bone scan if the surgery shows that the cancer has metastasized. Are we missing something here that we should know about?
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Comment by Charles (Chuck) Maack on October 26, 2008 at 9:31am - I was just reviewing the Comment Wall and noticed the comment by "phil" on "How do you talk to friends?" My approach would be different and would begin "Let me tell you about prostate cancer........"
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Comment by Oktay on October 26, 2008 at 8:30am - I couldn't understand absolutely? Do you ask for stopping plavix before biopsy? My answer is "yes" of course. BC there is an alternative as LDMH (Fraxiparine). Any Other!
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Comment by Steve J on August 28, 2008 at 3:02pm -
One of two GVAX trials terminated due to deaths.
See: http://phx.corporate-ir.net/phoenix.zhtml?c=98399&p=irol-newsArticle&ID=1191052&highlight=
or
http://tinyurl.com/6rxddj
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Comment by Arnon Krongrad, MD on August 14, 2008 at 2:22pm
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I am very suspicious of prostate hygiene: click here.
Seriously, I have yet to see a single wound infection (knocking wood here) in hundreds and hundreds of radical prostatectomies. The likelihood of infection changes with patient characteristis, such as with vascular insufficiency ... which are not findings common in men having radical prostatectomy.
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Comment by Steve J on August 14, 2008 at 1:18pm
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Here's something that could affect (or infect) any of us:
http://online.wsj.com/article/SB121867229022038907.html?mod=djemEditorialPage
or
http://tinyurl.com/5rfrk8
I am very suspicious of hospital hygiene.
Regards,
Steve J
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Comment by Kathy Meade on July 15, 2008 at 10:25am
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Wasn't sure where to put this link but the AUA has a link to presentations at their recent meeting. Information from these presentation may be of interest. Topics and presenters are:
Prospects of Prostate Cancer Prevention
Course Director: Gerald L. Andriole, Jr., M.D.
Professor and Chief of Urology
Washington University School of Medicine
St. Louis, MO
PSA - How Best to Use it?
Anthony V. D’Amico, M.D., Ph.D.
Professor and Chief of Genitourinary Radiation Oncology
Brigham and Women's Hospital
Harvard Medical School
Boston, MA
Approached to High-Risk and Locally Advanced CaP
Adam S. Kibel, M.D.
Associate Professor of Urology
Director of Urologic Oncology
Washington University School of Medicine
St. Louis, MO
Contemporary Approaches to Low Risk Localized CaP
Joel B. Nelson, M.D.
Frederic N. Schwenther Professor and Chair
Department of Urology
University of Pittsburgh School of Medicine
Pittsburgh, PA
http://webcasts.prous.com/aua2008/article.asp?AID=251
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Comment by phil on July 14, 2008 at 10:55am -
How do you talk to friends?
I'm 6 months into active surveillance. I find one of my most amusing interactions comes in conversations with friends. Our conversations start out:
Hi Hi
How are you? (with just a slight emphasis on the "are") Fine
No, I mean how ARE you? (stronger emphasis) Oh- you mean my cancer. I'm doing well.
Silence...maybe some gulps or gasps...and on to a new subject.
I feel sad about being in a situation that makes some many people uncomfortable but I'm not going to play the game. I want people to ask but they should ask forthrightly. Isn't it time we all learned that there's no magic in the word cancer and it's only if we allow it that it has some power over us.
What responses have you tried?
Phil
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