Compassionate Oncology in L.A. ?

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Ellsworth
New Member


Date Joined Sep 2008
Total Posts : 3
   Posted 9/2/2008 10:51 AM (GMT -6)   
 
  Just been diagnosed with PC......Gleason 7, Psa 4.6, T1c, 5 out of 8 cores positive- all were 5% to 10% with left mid at 50%. Has anyone had any experience with Dr. Liebowitz at Compassionate Ocology ?
 

eknath
New Member


Date Joined Sep 2008
Total Posts : 1
   Posted 9/2/2008 8:44 PM (GMT -6)   
Hello, i went to Compassionate Oncology and participated in the triple hormone blockade for 12 months. At that time Dr. Steven Tucker worked with Dr. Bob. I had a gleason 6 and had two cores with cancer. Before the procedure my psa was 6.7 only once, and thereafter averaged 4.1. The procedure was administered Oct. 2004. I experienced hot flashes within a few months, and a lot of weakness. Zometa was administered so I wouldn't lose bone mass. The Zometa made me very uncomfortable. The other patients I talked to didn't experience the same thing.
I just read a recent study saying that people with my profile should wait and see. I was 58 years old and may have been to young to do the treatment. Although, I am still glad I did the procedure, since my last biopsy May of 2008 was very clean, no cancer. Any questions please ask me.

taiping
Regular Member


Date Joined Apr 2008
Total Posts : 62
   Posted 9/3/2008 2:24 AM (GMT -6)   
Hello Ellsworth,
 
I have just completed 1-year of Triple Hormone Blockade in July 2008, under the direction of Dr. Steven Tucker (ex Compassionate Oncology) who now practices in Singapore. Although my bone density scan was borderline I did not have any medication to treat it, except an extra 200 mg of calcium/day in a multi-vitamin.
Side effects were a muzzy head, lack of energy, somewhat enlarged breasts, mood swings, ED, loss of libido. No hot flashes as far as I could tell.
During the course of the treatment my PSA reduced from 19.6 to 0.02. After stopping the hormone medication I expect the PSA to rise. The Leibowitz/Tucker study of 185 men with PCa showed the average PSA/Testosterone over 8-years in the following graph . . .
 
 
To Eknath, I found it very interesting you had another biopsy in May 2008 which showed no cancer. I hope this is another case of "disappearing prostate cancer" after hormone therapy. I don't intend to have another biopsy myself unluss absolutely necessary. My local doc also said I was "too young" for HT, but this didn't make sense to me since there is no evidence of the long term survival advantages of the standard RP/RT treatments.
 
 
All the best,
Steve
 
 
Diagnosed: June 2007. Aged 61. PSA 19.6. DRE negative.
Biopsy: June 2007; 2 cores of 18 positive.
MRI and Bone Scan: Negative.
Pathology: 5% of 1 core, "Small focus" in another core +ve.
Gleason 3 + 3 = 6.
Clinical: PCa considered confined to prostate. Stage T1c.
Treatment: After considering RP and HD Brachy, decided on Intermittent Triple Androgen Blockade Therapy for 1-year, using ZOLADEX, CASODEX 150 mg/day, AVODART 0.5 mg/day. Start PSA 19.2 (July 2007).
Completed Intermittent TAB on 23 July 2008, continue with AVODART alone and monitor PSA every 3-months.
Current Status: PSA = 0.02 (July 2008).
PSA nadir 0.018 (June 2008).
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taiping
Regular Member


Date Joined Apr 2008
Total Posts : 62
   Posted 9/3/2008 2:29 AM (GMT -6)   
The first link I gave doesn't seem to work, so I'll try this one . . .
 
Steve
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