Re: Definition of Advanced Prostate Cancer

[Guest guest]

Hi Sy,

I don't think there are any definite definitions. I would think

that anyone who had a PSA above 20 would probably have

advanced PCa. That is the cancer may be outside the

prostate. A Gleason of 4+3 and any number above this may

be considered advanced. If a bone scan shows metastases,

it would definitely be advanced.

If the PSA is 10 or less and the Gleason is 3+3 or less

it may be classifed as a moderate disease.

I wish you all the bestAubrey Pilgrim, DC (Ret.) Author ofA Revolutionary Approach to Prostate Cancer-Read the original book for FREE at: http://www.prostatepointers.org/prostate/lay/apilgrim/Read new edition for FREE at http://www.cancer.prostate-help.org/capilgr.htmDr. E. Crawford is co-author of the revision

I am trying to understand where the line is (more or less) between someone referring to "Prostate Cancer" and "Advanced Prostate Cancer". My numbers are:(59 years of age, PSA 3.14 had doubled since 2005, Gleason 6, Stage T1c, non palpable DRE) The reason I ask is that in one of my Medical opinions the Doctor kept using the terminology :"Advanced Prostate Cancer". As it turns out he was a sleaze who would have had me laying on his DaVinci Robot in 30 seconds if he could have.Given all the gradations and forms of Prostate Cancer I don't understand he kept using the term "Advanced Prostate Cancer". Any thoughts would be appreciated.Thanks,Sy

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[Guest guest]

Sy,

I would consider " advanced prostate cancer " as being recurring

disease after failed initial treatment, or when at diagnosis

appropriate testing/imaging determined that the cancer has extended

beyond the gland to lymph nodes or seminal vesicles or known to have

metastasized to bone. Dr. Judd Moul of Duke University Medical

Center has remarked that the term should even be broadened to include

patients who, despite presenting with low-grade prostate cancer, show

evidence of high risk of progression, even life threatening. I can

only presume that he sees such cases as requiring the more intensive

observation and treatment of such patients as would also concern the

Medical Oncologist in treating advanced prostate cancer.

Chuck

(Chuck) Maack

Prostate Cancer Advocate

Bio: http://www.ustoowichita.org/leaders.cfm?content=bio & id=1

Email: maack1@...

>

> I am trying to understand where the line is (more or less) between

someone referring to

> " Prostate Cancer " and " Advanced Prostate Cancer " .

>

> My numbers are:

>

> (59 years of age, PSA 3.14 had doubled since 2005, Gleason 6, Stage

T1c, non palpable

> DRE)

>

> The reason I ask is that in one of my Medical opinions the Doctor

kept using the

> terminology :

>

> " Advanced Prostate Cancer " .

>

> As it turns out he was a sleaze who would have had me laying on his

DaVinci Robot in 30

> seconds if he could have.

>

> Given all the gradations and forms of Prostate Cancer I don't

understand he kept using the

> term " Advanced Prostate Cancer " .

>

> Any thoughts would be appreciated.

>

> Thanks,

>

> Sy

>

[Guest guest]

I have run into some totally incompetent urologists in my 6 year

experience with my own prostate cancer. You are wise to question his

advice. That is why you will always hear about " 2nd opinions " .

Personally, I would go for 3rd 4th and 5th opinions if my life and

future quality of life is at stake. Since my experience with a lot of

incompetent advice, I have changed doctors a lot and included on my

advice team a radiation oncologist, and a couple of medical

oncologists. In your case, I would not ignore a radiation specialist

who can give you an opinion about seeds. We never anticipate a long

battle, but it it would be wise to cover the bases with an

endocrinologist for general health balance and management of

osteoporosis bone health in anticipation of ADT treatments, and a

cardiologist for general heart health and diet recommendations.

>

> I am trying to understand where the line is (more or less) between

someone referring to

> " Prostate Cancer " and " Advanced Prostate Cancer " .

>

> My numbers are:

>

> (59 years of age, PSA 3.14 had doubled since 2005, Gleason 6, Stage

T1c, non palpable

> DRE)

>

> The reason I ask is that in one of my Medical opinions the Doctor

kept using the

> terminology :

>

> " Advanced Prostate Cancer " .

>

> As it turns out he was a sleaze who would have had me laying on his

DaVinci Robot in 30

> seconds if he could have.

>

> Given all the gradations and forms of Prostate Cancer I don't

understand he kept using the

> term " Advanced Prostate Cancer " .

>

> Any thoughts would be appreciated.

>

> Thanks,

>

> Sy

>

[Guest guest]

Generally, I have heard Advanced PC referred to as:PC that has metasticized beyond the Prostate bed into either lymph nodes or bone (or both).On Nov 30, 2007 12:01 PM, sytech <

copanahoy@...> wrote:

I am trying to understand where the line is (more or less) between someone referring to

" Prostate Cancer " and " Advanced Prostate Cancer " .

My numbers are:

(59 years of age, PSA 3.14 had doubled since 2005, Gleason 6, Stage T1c, non palpable

DRE)

The reason I ask is that in one of my Medical opinions the Doctor kept using the

terminology :

" Advanced Prostate Cancer " .

As it turns out he was a sleaze who would have had me laying on his DaVinci Robot in 30

seconds if he could have.

Given all the gradations and forms of Prostate Cancer I don't understand he kept using the

term " Advanced Prostate Cancer " .

Any thoughts would be appreciated.

Thanks,

Sy

-- Emersonwww.flhw.org

[Guest guest]

I'd think that if you had advanced prostate cancer surgery would not

have been an option. " Sleeze " might be a bit strong in your decription

of the Doc., but his approach was not above reproach for sure.

[Guest guest]

Mine was T1C, PSA 9, Gleason 6, and was described by my urologist as early stage cancer. I still went for the surgery.

Louis. . .

Definition of "Advanced Prostate Cancer"

I am trying to understand where the line is (more or less) between someone referring to "Prostate Cancer" and "Advanced Prostate Cancer". My numbers are:(59 years of age, PSA 3.14 had doubled since 2005, Gleason 6, Stage T1c, non palpable DRE) The reason I ask is that in one of my Medical opinions the Doctor kept using the terminology :"Advanced Prostate Cancer". As it turns out he was a sleaze who would have had me laying on his DaVinci Robot in 30 seconds if he could have.Given all the gradations and forms of Prostate Cancer I don't understand he kept using the term "Advanced Prostate Cancer". Any thoughts would be appreciated.Thanks,Sy

[Guest guest]

My doctors have told me that their definition of advanced prostate

cancer may vary but it is typically viewed as cancer that is no longer

confined to the prostate capsule. I was told that my pT3b was advanced

because the front line treatment failed to remove all of the disease.

I was urged to not hesitate and take further action after LRP to

attempt to keep the cancer from relapse. I was able to get to an

undetectable PSA and still have that blessing. I have had HT and RT as

adjuvant therapies. All of my doctors agree this is an advanced case.

Tony

[Guest guest]

You all might want to ask this question at the

advancedprostatecancer listserv You

are welcome to join .

Darryl

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