Clearly you and I are both far past the PCa diagnosis stage :). The study I linked was looking at whether free PSA might prove useful in prognosticating. In any case your free PSA of 10% is below...
Following the % free PSA after RT for primary treatment is new to me. Is it possible the test including free PSA was ordered in error? If it was your PCP, that would be my guess. Free PSA Ratio as a...
Since my PSA may be going up (gulp), I wanted to see my BCBS cost should I need Lupron depot. Looking up the cost on Express Scripts, it says for the 3-month the (list) cost is 14,317.10, I pay $180....
Clocknut, true, but a couple of points. The first is just that, it doesn't mention any correlations or reported episodes triggered by a Covid vaccine. The second is, if the studies and data are...
Au contraire: Addressing Atrial Fibrillation in the World of COVID-19 (2021) "... So, while it can be soothing to think of a world without COVID, we have to prepare and act now as though it will...
It's not Friday and not dogs, but: A university president is complaing about the incredibly high budgets in the grant applications from the Physics Department. "All this high cost for facilities,...
Here's to continued success! Congrats, Djin...
Below the news article is a link to: "RELATED STORY: University of Florida veterinarians remove shoe from crocodile’s stomach" Related?? Did the shoe belong to one of the University of Florida...
I had a half day of fever and chills the day after my first Shingrix vaccine (nothing after the second). The light symptoms I'm hearing about by some, but by no means all, of Covid-vaccine recipients...
(1) Experts are saying it's not at all clear how long the effect of the first shot alone will last. (2) Fauci said the other day that the antibody level goes up 10 times after the 2nd shot. Skipping...
Hi ashu and Welcome to the Forum! It should be a urologist who makes that call together with your input (do you have a uro?). Do you have BPH? Increased PSA from it can complicate the picture, as can...
Hi Dave and Welcome to the Forum! With a G9 (4+5) and (even just one of) extraprostatic extension and metastases to the lymph nodes, SOC would be adjuvant therapy. May I ask some questions? Can you...
I'm glad your recovery is going well. Djin...
But we'll never know if it was the vaccine or the dry cleaning stop. Djin...
Fauci and others sounded a note of caution this morning because Makary's numbers are made up, logically, of those vaccinated plus those who had Covid, However, for the latter group, it is not known...
Canadian and Israeli studies are showing the Pfizer vaccine affords a very high level of protection after just one shot. I don't know if further studies will lead to this (and Moderna) being OK'ed as...
8 Weeks is not too soon. The typical range is 6 weeks to 3 months. The main objective of early testing is to make sure the initial PSA is <0.1, in other words, there isn't obvious persistent PSA and...
Two points about SBRT. 1) If your PCa should be turn out to be high-risk. From Stereotactic Body Radiotherapy for High-Risk Prostate Cancer: A Systematic Review (2021) "Conclusion: At this point,...
Now that is one interesting family arrangement! Djin...
I believe the original trials showed rather comperable adverse reactions for Pfizer and Moderna The problem with EUA, emergengy use authorizations, is that it puts the kibosh on trials, so we have...
Hi GH. So your G score was confirmed as 7 (4+3) and there were positive margins. What confuses me is the the synoptic report states extraprostatic extension, multifocal EPE, (at two locations). The...
From the Full Text: "Our findings highlight the importance of using higher SBRT dose levels, which are associated with improved local control as demonstrated on routine post-treatment biopsies....
Best of luck going forward! Please keep us posted with your progress. Djin...
I assume it's another term for post-treatment biopsy, i.e., one done for the purpose of evaluating the efficacy of (non-surgical) treatment. Clearly we expect toxicities to increase with total...
Predictors for Post-treatment Biopsy Outcomes after Prostate Stereotactic Body Radiotherapy (2021, MSK study) " Highlights • SBRT dose levels of 35–37.5 Gy of SBRT were associated with a higher...
I don't see any Covid-vaccine contraindications for medications either at the CDC site or on any of the pre-vaccination checklists. Given that the elderly especially are often taking a number of...
IMO it would be more logical to reduce allotment by a certain percentage each week below quota. That would encourage efforts and perhaps save vaccine until vaccinations equal allotment. Djin...
Biopsies and MRIs can miss cancer. Repeat biopsies are in order when PCa is suspected after a negative biopsy. Next time I would look into either a saturation biopy (with > 20 cores) or a targeted +...
GH, I'm sure you'll get your post-op path report at your video visit this week. Do ask to be sent copy of the complete report. It's an important document, which will give you the most detailed info...
Here's a toast to the next many, many happy years to come! Djin...
Initial Management of Noncastrate Advanced, Recurrent, or Metastatic Prostate Cancer: ASCO Guideline Update (2021, Full Text) " ABSTRACT PURPOSE Update all preceding ASCO guidelines on initial...
Hi Stephanie, Welcome to the Forum! I'm sorry you need to pose this question, of course. Do you know what specific medications Jeff's docs are considering? I'm assuming they are different -- I'm not...
Hi BD. Smart move keeping on top of your status and seeking diagnosis and treatment -- also given your dad's history. A great RP report, although some surgeons disagree about taking no nodes for G6...
See the thread on this topic already started, "Scan like a mammogram" below. The data in the Abstract seems less enthusiastic than the news report. Djin...
Hmmm, seems like a failed holdup....
Medication patterns of abiraterone acetate plus prednisone or enzalutamide and PSA progression in veterans with metastatic castration resistant prostate cancer (2021) " Abstract Objectives: To...
Here's a study: Population-based prostate cancer screening with Magnetic Resonance or Ultrasound Imaging: The IP1-PROSTAGRAM study (2021) " Abstract Importance : Screening for prostate cancer using...
Wishing you everything good! Djin...
Hmm, major surgery with no discharge instructions, what to expect, when to plan a return to work and full activities. Who was remiss here? Hint: it wasn't the patient. Djin...
Hi GM. Even though your appeared to have low-volume G6 disease in 2014. AS requires regular, active monitoring with biopsies and imaging. Your PSA went up 2, 3, and then 4X from '14 to '18, let alone...
The CDC seems to be granting emergency use approval fairly quickly. The scientists making the decisionsl need time to review the data, ask questions, and get answers. Given the new...
Choosing the Right Diagnostic Pathway in Biopsy-Naive Patients With Suspected Prostate Cancer (2021, JAMA invited commentary) "In the prospective multicenter Prostate Evaluation for Clinically...
Hi GH -- congrats on getting your surgery behind you! Continue to take things easy -- as my surgeon's nurse reminded me, we heal from the outside in, and it takes time. Think of your RP as an...
"Younger than springtime are you..."...
Getting 1st dose tomorrow and was told I'll be given a return date for the 2nd dose, so I voted for the 2nd option. I called the Duke Hospital Hotline the first day vaccines opened to >65 yr here in...
That study stlll found that PSA correlates with tumor volume, so even if the inverse PSA relation with G grade (per unit tumor volume) reported in this older study has been confirmed (?), high-grade...
JNF, do you have a source for the statement that "G6 gives off about four times as much PSA as G8"? This would contradict all the studies that promote the use of PSA density to predict clinically...
Yes, the most common PSMA-PET scan uses a 68Ga radionuclide. Most body tissue produces some PSMA, especially the salivary glands and prostate, and prostate cancer cells produce even more, making...
Hi A4 and welcome to the Forum! Good for you for insisting on a baseline PSA test! Regarding your high pre-treatment PSA, as you probably know, there is no guarantee that a biopsy will hit existing...
Gottcha -- thanks for the explanation! Where are the new lymph nodes located? Djin...