Popularity of Various Treatment Optiuons?

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geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 5/7/2009 1:44 PM (GMT -6)   
Has anyone come across good data on what fraction of actively treated prostate cancers are treated by each of the available options. Some things I have read lead me to guess that radical prostatectomy accounts for about 70%

And, yes, any such statistics would have to have a lot of footnotes
Age at diagnosis 67, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3 + 4 = 7
CAT scan 1/09 negative, Bone scan 1/09 negative

Robotic surgery 03/03/09 Catheter Removed 03/08/09
Post surgical pathology report. Lymph nodes negative, Seminal vesicles negative
Surgical margins positive, Capsular penetration extensive Gleason 4 + 3 = 7


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 5/7/2009 2:18 PM (GMT -6)   
Hmmm...I tried a couple of searches and came up with lots of info...but not exactly what you were looking for. I would think that this is going to be a tough one, because of a moving target...age, level of cancer and the patients desires and feelings after being diagnosed with cancer.

The gold standard for grades T1 & T2 have been surgery, and the T3 is a mix and the T4 mostly drug therapy. Kinda like asking how many homeruns have been hit by pitchers in Major League Baseball. It's out there but difficult to filter and compile.

Wouldn't refining your search be better? Maybe to a specific grade of cancer or a specific age group etc. Yana website has a pretty good spreadsheet, however it is from the list of men that have reported their treatment decisions and not scientific by any means.

Will be interesting to see what others come up with.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month April 2009 .06


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4832
   Posted 5/7/2009 3:52 PM (GMT -6)   
Can't say that I ever participated in a survey...Relying of different doctors/surgeons would only give good results if they ALL submitted info...

Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
 
10/03/08 - 1st Quarter PSA -> less then .01
01/16/09 - 2nd Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.
 


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4235
   Posted 5/7/2009 7:35 PM (GMT -6)   
From the national medicare data, 2001: Brachytherapy 50,000: RP 31000. Note that this reflects patients on medicare or over 65. I imagine surgery is higher for those below 65.
JT

64 years old.

I had an initial PSA test in 1999 of 4.4. PSA increased every 6 months reaching 40 in 5-08. PSA free ranged from 16% to 10%. Over this time period I had a total of 13 biopsies and an endorectal MRIS all negative and have seen doctors at Long Beach, UCLA, UCSF and UCI. DX has always been BPH and continue to get biopsies every year.

In 10-08 I had a 25 core biopsy that showed 2 cores positive, gleason 6 at less than 5%. Surgery was recommended and I was in the process of interviewing surgeons when my wife's oncologist recommended I get a 2nd opinion from a prostate oncologist.

I saw Dr Sholtz, in Marina Del Rey, and he said that the path reports indicated no tumor, but indolant cancer clusters that didn't need any treatment. He was concerned that my PSA history indicated that I had a large amount of PC somewhere that had yet to be uncovered and put me through several more tests.

A color doppler targeted biopsy in 11-08 found a large tumor in the transition zone, gleason 6 and 7. Because of my high PSA Dr. suspected lymph node involvement, 30% chance, and sent me to Holland for a Combidex MRI, even though bone and CT scans were clear.

Combidex MRI showed clear lymph nodes and a 2,5 cm tumor in the anterior. I was his 1st patient to come up clear on the Combidex which has a 96% accuracy,

I've been on a no meat and dairy diet since 12-08 and PSA reduce to 30 while I awaited the Combidex MRI.

The location of the tumor in the anterior apex next to the urethea makes a good surgical margin very unlikely. Currently on Casodex and Proscar for 8 weeks to shrink my 60 mm prostate. Treatment will be seeds followed by 5 weeks of IMRT while continuing on Casodex and Proscar. So far no side affects from the Casodex.

As of April 10 and 7 weeks on Casodex and Proscar PSA has gone from 30 to 0.62 and protate from 60mm to 32mm. Very minor side affects. Doc says all this indicates tumor is not aggessive

Awaiting schedule for seed impants

 


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 5/10/2009 4:42 PM (GMT -6)   
Kudos to you brother and PCa warrior 'OhioState' (Andrew).  Popularity is fleeting, temporary and fickled.....so might many PCa treatments. Some will become passe in time and maybe even considered neandrathal or over treatment....time will tell.  We can say that a lot of money is made on treatments and tons on drugs, scans, and related testings. Now is money popular??? The more bucks you got the more friends you got (fair weather types and leachs would be included).
 
Going to the dentist is not popular, but the majority of people do. I am not popular to many, but I like my dentist. This type of logic is nonsense, but might become popular given enough doseages.
Well got to brush up on my logic skills, perhaps Plato or Socrates is the ticket.
 
Zufus- with his drive-by reply   (later) smilewinkgrin
 

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