Medical Ongologist?

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Regular Member

Date Joined Jan 2008
Total Posts : 32
   Posted 2/23/2008 9:46 AM (GMT -6)   
When do people usually see a Medical Oncologist? Only after prostate CA has spread outside the Prostate? We are wondering about the whole aspect of the disease, and the focus right now is surgery. What should we expect, or what is fair to expect, from a surgeon about managing the disease, itself?

Any input on these thougts is appreciated.

Age 54
PSA 2.8 in 1999, PSA 2.88 in 2004 - did not follow-up until 12/2007 :(
PSA 5.6 1/2008, but 4.37 on repeat
DRE - unremarkable
Free PSA ratio 0.11
Biopsy 1/25/2008 - 10 Cores - 5 each side. 4 with adenocarcinoma (2 each side)
Gleason 3+3=6 and 3+4=7 - No Stage given on report, maybe T2c?
Planning Robotic Surgery

Regular Member

Date Joined Sep 2006
Total Posts : 211
   Posted 2/23/2008 7:49 PM (GMT -6)   

For someone recently diagnosed who is considering their treatment options, a Medical Oncologist who is an expert in PC can assist with the decision making process and provide objective advice on the options available to them.

For someone who has already decided on their form of treatment, Medical Oncologist consultations would provide limited value at this time.

Regular Member

Date Joined Oct 2006
Total Posts : 444
   Posted 2/25/2008 4:38 PM (GMT -6)   
Hi FairRider

AUS gave a great explanation above which I can't really improve upon! I just want to say that before I made my treatment decision I consulted with a top prostate cancer medical oncologist at a major cancer hospital. He was extremely helpful to me in evaluating each of my treatment choices, in giving me the probability of a cure in each treatment choice and in helping me make my final treatment decision.  Consulting with a medical oncologist lends unbiased objectivety in making a treatment decision. 
I see that you have requested input on a robotic surgeon, but you do not indicate where you live (but perhaps you are willing to travel for your treatment).  Dr. Ash Tewari at NY Presbyterian (Cornell) in New York City is considered one of the best robotic surgeons in this country.  However, there are many more excellent surgeons throughout the U.S. that have performed surgery for the members here. 

I see that you, like me, let a period of over three years go by between PSA tests and got the surprise you didn't want to hear. We can only hope that our cancer was slow growing and that we caught it early enough. I am optomistic! Best of luck to you!


-69 years young!
-29 core biopsy 9/27/06 at age 68
-PSA 7.1, Stage T1c, Gleason 7 (3+4) [less than 20% in one area], Gleason 6 [less than 5% in two other areas], Negative DRE, bone scan and Endorectal MRI. 
-Completed 39 Proton radiation treatments 2/22/07-4/18/07.   
-PSA History: 7.1 pre-treatment; post treatment: 2.1 (3 mo.), 2.4 (6 mo.), 1.7 (9 mo). Radiation oncologist said the 3-mo. drop of 70% exceeded expectations and the slight 6-mo. movement upwards was not a cause for concern now.
-The following is a link to My Journey With Prostate Cancer -- Proton RadiationTherapy.  

Post Edited (pcdave) : 2/25/2008 2:46:15 PM (GMT-7)

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