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Doctor insights on: Can Poroton Therapy Be Used On Prostate Cancer Of 9 On Gleason And Psa Of 21

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Can poroton therapy be used on prostate cancer of 9 on gleason and psa of 21?

Can  poroton  therapy  be  used  on  prostate  cancer  of  9  on gleason  and  psa  of  21?

Maybe: More information required. I assume with those numbers that some further testing ha been done to rule out metastatic disease. With gleason 9 cancer and a psa of 20+, there is high likelihood of extraprostatic disease, based on the partin tables. I would make sure that a ct of the abdomen and pelvis as well as a bone scan have been done before making any recommendations. ...Read more

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Dr. Barry Rosen
4,214 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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I am having bone pain here and there, did prostate cancer radiation treatment 2 yrs ago. Psa ok, 0.5 now. Initial psa 7.20, gleson 7 during treatment.

I am having bone pain here and there, did prostate cancer radiation treatment 2 yrs ago. Psa ok, 0.5 now. Initial psa 7.20, gleson 7 during treatment.

Get checked: Too many possibilities. Included are osteoporosis, low vitamin d, hyperparathyroid. Many metabolic causes. Also to be considered is involvement of bone by prostate ca. A simple evaluation goes a long way to answer these questions and allay any fears of cancer recurrence. ...Read more

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Recently diagnose with prostate cancer Tic, gleason 7(3+4), PSA 4.97 Had some labs done. Absolute lymphocyte 4.3(High), immature granulocyte .5(High). Other labs normal. What does this mean?

Recently diagnose with prostate cancer Tic, gleason 7(3+4), PSA 4.97

Had some labs done. Absolute lymphocyte 4.3(High), immature granulocyte .5(High).  Other labs normal. What does this mean?

Review with your doc: Your urologist will review this in detail and consider your surgical options with you. Please get on his treatment plan and this will help avoid future worsening of this disease and as well give you peace of mind. There are many labs followed and checked prior to surgery and other treatments. They get compared to your previous baseline levels. Your doctor will explain this regarding your case. ...Read more

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Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?

Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?

Yes but: Alternatives are external beam radiation and radiation seeds (brachytherapy). At your age, conservative (watching) isn't advised. All of the therapies can cause urinary incontinence and e.D. - with surgery, they get better over time for most. With radiation, they get worse over time. Surgery is the time honored best of a bad situation. Good luck. ...Read more

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I had prostate cancer radiation treatment, last psa test was .58. If cancer do reoccur what kind symptoms will i get physically, feel, notice etc.?

I had prostate cancer radiation treatment, last psa test was .58. If cancer do reoccur what kind symptoms will i get physically, feel, notice etc.?

Varies: If you are following psa, and your cancer recurs, vey often the patient is asymptomatic - the only symptom may be anxiety about the test result. Otherwise symptoms have to do with sight of recurrence- most common is bone pain or fracture. ...Read more

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Prostate cancer- what are the best diagmostic tool- biopsi/mri/serology -psa values? What is the best treatment option? Male 64- obese- high bp

Prostate cancer- what are the best diagmostic tool- biopsi/mri/serology -psa values? What is the best treatment option? Male 64- obese- high  bp

Biopsy: A biopsy should be done but if the psa is very high, > 100 unlikely anything else. A biopsy will give tissue diagnosis, grade of the tumor, and help the physician decide on therapy. Hope this helps. ...Read more

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I heard that there is a recommendation against routine psa screening for prostate cancer - but didn't a recent study in nejm show it saves lives?

I heard that there is a recommendation against routine psa screening for prostate cancer - but didn't  a recent study in nejm show it saves lives?

Screening: Correct, an update on trial in europe looking at screening shows a benefit with screening, published in new england journal of medicine, march 2012. Moreover, with the introduction of psa testing some 20 years ago, there has been a reduction in prostate cancer mortality in usa as noted in the data collected by the national cancer institute, known as seer data. ...Read more

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Psa test reveals 1.7, is this a good indicator that you have no prostate cancer?

34: You are 34.Prostate CA is unheard of at 34.I am surprised a doctor ordered PSA on you,unless of course you went to one of those walk in cash labs.Be well. ...Read more

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Risk of prostate cancer and prescription for 69 yearold with enlarged prostate and psa going from 2 to 4 in last two years?

Risk of prostate cancer and prescription for 69 yearold with enlarged prostate and psa going from 2 to 4 in last two years?

Other factors: Am.UrolAss(AUA)&Nl.Comp.Ca.Netw(NCCN) say PSA velocity above 0.35ng/ml/yr should be biopsied.More recent data fr.Meml.Sl.Kett.(MSKCC):using those guidelines caused many unnecessary biopsies.Univ.ofCA Dr.Peter Carroll:PSA vel.is only a factor. Other factors to be considered:DRE,family hist..Space limited,so please talk to your urologist. See: www.cancer.gov/clinicaltrials/results/summary/2011/psa- ...Read more

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Dr. Moez Khorsandi
524 doctors shared insights

Prostate Cancer (Definition)

Cancer is a new growth of any tissue with an ability to spread - metastasize - along blood vessels and lymphatic channels to near or far sites of the body with never-ending aggressiveness until the host succumbs to death by it or other related problems. Prostate cancer is one of them ranked as #2 cancer (after skin cancer) and & #2 cancer death (after lung cancer). 1 in 6-7 men in ...Read more


Dr. James Lin
258 doctors shared insights

Prostate Specific Antigen (Definition)

Psa is a protein made in the prostate gland that functions to liquefy sperm. It is a serine protease made by both normal and malignant prostate glands. Commonly used as a screening test for prostate cancer, the psa test is widely used to detect which men would benefit from a prostate biopsy as well as detect cancer recurrence in men who have been ...Read more