Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 Doug,If your doctor is not receptive to the PSA schedule you either need to change doctors or educate him. Most general physicians do not know about the need to change how PSA should be evaluated post surgery. Print out my comments and have him read it. Then ask him to confirm what I said, if he does his homework he will support you with the increased monitoring. Remember, it is your life that could be at risk. Do nor let a doctors lack of knowledge or ego put you at risk. Yes, a radiation oncologist can write a script for a PSA test, but remember that you need to compare results of the PSA tests with a test using the same reagent. On the report, after the test result there should be a statement that specifiies the testing method and reagents whu\ich were used. make sure they are the same otherwise you can not compare the results. , thank you, very illuminating. In this sort of predicament it is nice to have a good idea of what is ahead. My only concern at this time is whether my doctor(s) will be sympathetic to monthly PSA checks. I noted that my family physician wrote on the test results of .07 " of no concern " . I already have surgeon and radiation oncologist scheduled., as well as another PSA tomorrow at the hospital. Can a radiation oncologist typically order a PSA at a hospital? Thanks Doug Subject: Re: Re: Rise in PSA To: ProstateCancerSupport Date: Tuesday, August 18, 2009, 10:49 AM This string has become somewhat confusing, between two Dougs and the sometimes contradictory thoughts. I want to help bring the thinking together. 1- PSA dynamics are different post treatment from pretreatment. Prior to treatment the tolerance for a higher PSA is reasonable as a normal prostate does make PSA and as we age the prostate tends to get larger and make even more PSA. In this case an elevated PSA doesn’t necessarily mean that there is prostate cancer or that it is in need of treatment. 2- PSA tolerance changes post surgery and post radiation from the pretreatment time period. After treatment a nadir PSA level is reached (a baseline, background PSA level.) If the treatment has been successful this number is either undetectable or extremely low (measured in the hundredths) in the case of surgery or a little higher post radiation (the prostate gland remains in the body after radiation so more PSA is often generated). Nadir is usually reached more quickly post surgery, but post radiation it can take up to a year to reach nadir. 3- Once nadir is reached PSA needs to be monitored regularly to insure it stays at nadir. Schedules should be every 3 months for the first few years and then can go to every six months for the rest of your life. 4- If there is a change in PSA levels post treatment even more careful and more regular monitoring needs to be performed. Most docs consider three (3) rises after obtaining nadir means there has been a recurrence. It does not matter how low or how high these rises are, even if they are measured in the tenths of a point, three rises means there is a recurrence. 5- Delaying or denying a recurrence can be fatal. One should never wait. Most docs feel that a recurrence with a PSA level below 1.0 to 1.4 probably means (but does not guarantee) that there is a good chance the recurrence is still localized. This means that the cancer is still in the prostate bed or the gland itself in the case of men who had been treated with radiation. If the cancer is still localized then a targeted treatment (salvage radiation, surgery or cryo) might still “cure” or adequately control the cancer. 6- In the case where the PSA has been allowed to exceed the target 1.0 to 1.4 numbers the cancer has probably moved beyond the immediate area and a targeted therapy will not work. In these cases, the proper treatment is a system wide treatment such as hormone therapy. This is the reason it is necessary to jump quickly on a recurrence while the PSA remains under 1.0. In cases of the PSA level being below the target numbers the sooner the treatment the better the shot at stopping the cancer. 7- Do not get lulled into ignoring a recurrence while the PSA is low because there is no positive imaging (no mets seen). It takes millions of cells to become visible on our scans, so you can say you do not have metastatic disease, but you still have prostate cancer running through your body, we just can not see it. 8- Always make sure that the PSA tests are performed with the same reagents, ideally at the sane lab. A PSA rise using a different reagent may not be a rise; it could easily reflect a difference in the testing protocol and fool you into thinking that you have a recurrence. 9- Prostate cancer recurrences can be controlled, but it must be done very early on in the PSA number game. 10- PSA in the post treatment world is different than in the pretreatment world, don’t confuse the issues. Recent Activity 5 New Members Visit Your Group Give Back Yahoo! for Good Get inspired by a good cause. Y! Toolbar Get it Free! easy 1-click access to your groups. Yahoo! Groups Start a group in 3 easy steps. Connect with others. T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer-- -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostatecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare.com - information and support about prostate cancer http://health.groups.yahoo.com/group/advancedprostatecancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 , my family doctor probably won't be a part of the picture from here on anyway. I would assume that my surgeon and rad. oncol. working in the same hospital would use the same test. It is my surgeon that I am not sure about. Doug From: Nowak <tnowakgmail (DOT) com>Subject: Re: [ProstateCancerSupp ort] Re: Rise in PSA To: ProstateCancerSuppo rtyahoogroups (DOT) comDate: Tuesday, August 18, 2009, 10:49 AM This string has become somewhat confusing, between two Dougs and the sometimes contradictory thoughts. I want to help bring the thinking together. 1- PSA dynamics are different post treatment from pretreatment. Prior to treatment the tolerance for a higher PSA is reasonable as a normal prostate does make PSA and as we age the prostate tends to get larger and make even more PSA. In this case an elevated PSA doesn’t necessarily mean that there is prostate cancer or that it is in need of treatment. 2- PSA tolerance changes post surgery and post radiation from the pretreatment time period. After treatment a nadir PSA level is reached (a baseline, background PSA level.) If the treatment has been successful this number is either undetectable or extremely low (measured in the hundredths) in the case of surgery or a little higher post radiation (the prostate gland remains in the body after radiation so more PSA is often generated). Nadir is usually reached more quickly post surgery, but post radiation it can take up to a year to reach nadir. 3- Once nadir is reached PSA needs to be monitored regularly to insure it stays at nadir. Schedules should be every 3 months for the first few years and then can go to every six months for the rest of your life. 4- If there is a change in PSA levels post treatment even more careful and more regular monitoring needs to be performed. Most docs consider three (3) rises after obtaining nadir means there has been a recurrence. It does not matter how low or how high these rises are, even if they are measured in the tenths of a point, three rises means there is a recurrence. 5- Delaying or denying a recurrence can be fatal. One should never wait. Most docs feel that a recurrence with a PSA level below 1.0 to 1.4 probably means (but does not guarantee) that there is a good chance the recurrence is still localized. This means that the cancer is still in the prostate bed or the gland itself in the case of men who had been treated with radiation. If the cancer is still localized then a targeted treatment (salvage radiation, surgery or cryo) might still “cure†or adequately control the cancer. 6- In the case where the PSA has been allowed to exceed the target 1.0 to 1.4 numbers the cancer has probably moved beyond the immediate area and a targeted therapy will not work. In these cases, the proper treatment is a system wide treatment such as hormone therapy. This is the reason it is necessary to jump quickly on a recurrence while the PSA remains under 1..0. In cases of the PSA level being below the target numbers the sooner the treatment the better the shot at stopping the cancer. 7- Do not get lulled into ignoring a recurrence while the PSA is low because there is no positive imaging (no mets seen). It takes millions of cells to become visible on our scans, so you can say you do not have metastatic disease, but you still have prostate cancer running through your body, we just can not see it. 8- Always make sure that the PSA tests are performed with the same reagents, ideally at the sane lab. A PSA rise using a different reagent may not be a rise; it could easily reflect a difference in the testing protocol and fool you into thinking that you have a recurrence. 9- Prostate cancer recurrences can be controlled, but it must be done very early on in the PSA number game. 10- PSA in the post treatment world is different than in the pretreatment world, don’t confuse the issues. Recent Activity 5 New Members Visit Your Group Give Back Yahoo! for Good Get inspired by a good cause. Y! Toolbar Get it Free! easy 1-click access to your groups. Yahoo! Groups Start a group in 3 easy steps. Connect with others. T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer-- -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 , my family doctor probably won't be a part of the picture from here on anyway. I would assume that my surgeon and rad. oncol. working in the same hospital would use the same test. It is my surgeon that I am not sure about. Doug From: Nowak <tnowakgmail (DOT) com>Subject: Re: [ProstateCancerSupp ort] Re: Rise in PSA To: ProstateCancerSuppo rtyahoogroups (DOT) comDate: Tuesday, August 18, 2009, 10:49 AM This string has become somewhat confusing, between two Dougs and the sometimes contradictory thoughts. I want to help bring the thinking together. 1- PSA dynamics are different post treatment from pretreatment. Prior to treatment the tolerance for a higher PSA is reasonable as a normal prostate does make PSA and as we age the prostate tends to get larger and make even more PSA. In this case an elevated PSA doesn’t necessarily mean that there is prostate cancer or that it is in need of treatment. 2- PSA tolerance changes post surgery and post radiation from the pretreatment time period. After treatment a nadir PSA level is reached (a baseline, background PSA level.) If the treatment has been successful this number is either undetectable or extremely low (measured in the hundredths) in the case of surgery or a little higher post radiation (the prostate gland remains in the body after radiation so more PSA is often generated). Nadir is usually reached more quickly post surgery, but post radiation it can take up to a year to reach nadir. 3- Once nadir is reached PSA needs to be monitored regularly to insure it stays at nadir. Schedules should be every 3 months for the first few years and then can go to every six months for the rest of your life. 4- If there is a change in PSA levels post treatment even more careful and more regular monitoring needs to be performed. Most docs consider three (3) rises after obtaining nadir means there has been a recurrence. It does not matter how low or how high these rises are, even if they are measured in the tenths of a point, three rises means there is a recurrence. 5- Delaying or denying a recurrence can be fatal. One should never wait. Most docs feel that a recurrence with a PSA level below 1.0 to 1.4 probably means (but does not guarantee) that there is a good chance the recurrence is still localized. This means that the cancer is still in the prostate bed or the gland itself in the case of men who had been treated with radiation. If the cancer is still localized then a targeted treatment (salvage radiation, surgery or cryo) might still “cure†or adequately control the cancer. 6- In the case where the PSA has been allowed to exceed the target 1.0 to 1.4 numbers the cancer has probably moved beyond the immediate area and a targeted therapy will not work. In these cases, the proper treatment is a system wide treatment such as hormone therapy. This is the reason it is necessary to jump quickly on a recurrence while the PSA remains under 1..0. In cases of the PSA level being below the target numbers the sooner the treatment the better the shot at stopping the cancer. 7- Do not get lulled into ignoring a recurrence while the PSA is low because there is no positive imaging (no mets seen). It takes millions of cells to become visible on our scans, so you can say you do not have metastatic disease, but you still have prostate cancer running through your body, we just can not see it. 8- Always make sure that the PSA tests are performed with the same reagents, ideally at the sane lab. A PSA rise using a different reagent may not be a rise; it could easily reflect a difference in the testing protocol and fool you into thinking that you have a recurrence. 9- Prostate cancer recurrences can be controlled, but it must be done very early on in the PSA number game. 10- PSA in the post treatment world is different than in the pretreatment world, don’t confuse the issues. Recent Activity 5 New Members Visit Your Group Give Back Yahoo! for Good Get inspired by a good cause. Y! Toolbar Get it Free! easy 1-click access to your groups. Yahoo! Groups Start a group in 3 easy steps. Connect with others. T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer-- -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 On August 18, Alan wrote, in pertinent part: > As I understand it, SRT is the only option that might " cure " the > cancer after failed prostatectomy, where " cure " means that there > is no subsequent rise of PSA or other indicator of cancer, and no > further treatment is ever required. > > The track record for SRT is not great. I saw an article that > said, under the best conditions (IIRC 0.2 PSA after surgery), SRT > has a 45% success rate. The rate gets worse as the PSA goes up - > presumably because with higher PSA values the likelihood > increases that the cancer has already spread beyond the radiated > field. Exactly. RT is effective only if it hits PCa cells. If those cells are elsewhere, which would be the case where the PCa is systemic or metastatic, RT would be useless. Sorry to rain on anyone's parade. (snip) Regards, Steve J Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 On August 18, Alan wrote, in pertinent part: > As I understand it, SRT is the only option that might " cure " the > cancer after failed prostatectomy, where " cure " means that there > is no subsequent rise of PSA or other indicator of cancer, and no > further treatment is ever required. > > The track record for SRT is not great. I saw an article that > said, under the best conditions (IIRC 0.2 PSA after surgery), SRT > has a 45% success rate. The rate gets worse as the PSA goes up - > presumably because with higher PSA values the likelihood > increases that the cancer has already spread beyond the radiated > field. Exactly. RT is effective only if it hits PCa cells. If those cells are elsewhere, which would be the case where the PCa is systemic or metastatic, RT would be useless. Sorry to rain on anyone's parade. (snip) Regards, Steve J Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 If you have had a recurrence you should move on to a medical oncologist for treatment. , my family doctor probably won't be a part of the picture from here on anyway. I would assume that my surgeon and rad. oncol. working in the same hospital would use the same test. It is my surgeon that I am not sure about. Doug From: Nowak <tnowakgmail (DOT) com> Subject: Re: [ProstateCancerSupp ort] Re: Rise in PSA To: ProstateCancerSuppo rtyahoogroups (DOT) comDate: Tuesday, August 18, 2009, 10:49 AM This string has become somewhat confusing, between two Dougs and the sometimes contradictory thoughts. I want to help bring the thinking together. 1- PSA dynamics are different post treatment from pretreatment. Prior to treatment the tolerance for a higher PSA is reasonable as a normal prostate does make PSA and as we age the prostate tends to get larger and make even more PSA. In this case an elevated PSA doesn’t necessarily mean that there is prostate cancer or that it is in need of treatment. 2- PSA tolerance changes post surgery and post radiation from the pretreatment time period. After treatment a nadir PSA level is reached (a baseline, background PSA level.) If the treatment has been successful this number is either undetectable or extremely low (measured in the hundredths) in the case of surgery or a little higher post radiation (the prostate gland remains in the body after radiation so more PSA is often generated). Nadir is usually reached more quickly post surgery, but post radiation it can take up to a year to reach nadir. 3- Once nadir is reached PSA needs to be monitored regularly to insure it stays at nadir. Schedules should be every 3 months for the first few years and then can go to every six months for the rest of your life. 4- If there is a change in PSA levels post treatment even more careful and more regular monitoring needs to be performed. Most docs consider three (3) rises after obtaining nadir means there has been a recurrence. It does not matter how low or how high these rises are, even if they are measured in the tenths of a point, three rises means there is a recurrence. 5- Delaying or denying a recurrence can be fatal. One should never wait. Most docs feel that a recurrence with a PSA level below 1.0 to 1.4 probably means (but does not guarantee) that there is a good chance the recurrence is still localized. This means that the cancer is still in the prostate bed or the gland itself in the case of men who had been treated with radiation. If the cancer is still localized then a targeted treatment (salvage radiation, surgery or cryo) might still “cure” or adequately control the cancer. 6- In the case where the PSA has been allowed to exceed the target 1.0 to 1.4 numbers the cancer has probably moved beyond the immediate area and a targeted therapy will not work. In these cases, the proper treatment is a system wide treatment such as hormone therapy. This is the reason it is necessary to jump quickly on a recurrence while the PSA remains under 1..0. In cases of the PSA level being below the target numbers the sooner the treatment the better the shot at stopping the cancer. 7- Do not get lulled into ignoring a recurrence while the PSA is low because there is no positive imaging (no mets seen). It takes millions of cells to become visible on our scans, so you can say you do not have metastatic disease, but you still have prostate cancer running through your body, we just can not see it. 8- Always make sure that the PSA tests are performed with the same reagents, ideally at the sane lab. A PSA rise using a different reagent may not be a rise; it could easily reflect a difference in the testing protocol and fool you into thinking that you have a recurrence. 9- Prostate cancer recurrences can be controlled, but it must be done very early on in the PSA number game. 10- PSA in the post treatment world is different than in the pretreatment world, don’t confuse the issues. Recent Activity 5 New Members Visit Your Group Give Back Yahoo! for Good Get inspired by a good cause. Y! Toolbar Get it Free! easy 1-click access to your groups. Yahoo! Groups Start a group in 3 easy steps. Connect with others. T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer-- -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer Together Survivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostatecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare.com - information and support about prostate cancer http://health.groups.yahoo.com/group/advancedprostatecancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 If you have had a recurrence you should move on to a medical oncologist for treatment. , my family doctor probably won't be a part of the picture from here on anyway. I would assume that my surgeon and rad. oncol. working in the same hospital would use the same test. It is my surgeon that I am not sure about. Doug From: Nowak <tnowakgmail (DOT) com> Subject: Re: [ProstateCancerSupp ort] Re: Rise in PSA To: ProstateCancerSuppo rtyahoogroups (DOT) comDate: Tuesday, August 18, 2009, 10:49 AM This string has become somewhat confusing, between two Dougs and the sometimes contradictory thoughts. I want to help bring the thinking together. 1- PSA dynamics are different post treatment from pretreatment. Prior to treatment the tolerance for a higher PSA is reasonable as a normal prostate does make PSA and as we age the prostate tends to get larger and make even more PSA. In this case an elevated PSA doesn’t necessarily mean that there is prostate cancer or that it is in need of treatment. 2- PSA tolerance changes post surgery and post radiation from the pretreatment time period. After treatment a nadir PSA level is reached (a baseline, background PSA level.) If the treatment has been successful this number is either undetectable or extremely low (measured in the hundredths) in the case of surgery or a little higher post radiation (the prostate gland remains in the body after radiation so more PSA is often generated). Nadir is usually reached more quickly post surgery, but post radiation it can take up to a year to reach nadir. 3- Once nadir is reached PSA needs to be monitored regularly to insure it stays at nadir. Schedules should be every 3 months for the first few years and then can go to every six months for the rest of your life. 4- If there is a change in PSA levels post treatment even more careful and more regular monitoring needs to be performed. Most docs consider three (3) rises after obtaining nadir means there has been a recurrence. It does not matter how low or how high these rises are, even if they are measured in the tenths of a point, three rises means there is a recurrence. 5- Delaying or denying a recurrence can be fatal. One should never wait. Most docs feel that a recurrence with a PSA level below 1.0 to 1.4 probably means (but does not guarantee) that there is a good chance the recurrence is still localized. This means that the cancer is still in the prostate bed or the gland itself in the case of men who had been treated with radiation. If the cancer is still localized then a targeted treatment (salvage radiation, surgery or cryo) might still “cure” or adequately control the cancer. 6- In the case where the PSA has been allowed to exceed the target 1.0 to 1.4 numbers the cancer has probably moved beyond the immediate area and a targeted therapy will not work. In these cases, the proper treatment is a system wide treatment such as hormone therapy. This is the reason it is necessary to jump quickly on a recurrence while the PSA remains under 1..0. In cases of the PSA level being below the target numbers the sooner the treatment the better the shot at stopping the cancer. 7- Do not get lulled into ignoring a recurrence while the PSA is low because there is no positive imaging (no mets seen). It takes millions of cells to become visible on our scans, so you can say you do not have metastatic disease, but you still have prostate cancer running through your body, we just can not see it. 8- Always make sure that the PSA tests are performed with the same reagents, ideally at the sane lab. A PSA rise using a different reagent may not be a rise; it could easily reflect a difference in the testing protocol and fool you into thinking that you have a recurrence. 9- Prostate cancer recurrences can be controlled, but it must be done very early on in the PSA number game. 10- PSA in the post treatment world is different than in the pretreatment world, don’t confuse the issues. Recent Activity 5 New Members Visit Your Group Give Back Yahoo! for Good Get inspired by a good cause. Y! Toolbar Get it Free! easy 1-click access to your groups. Yahoo! Groups Start a group in 3 easy steps. Connect with others. T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer-- -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer Together Survivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostatecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare.com - information and support about prostate cancer http://health.groups.yahoo.com/group/advancedprostatecancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 , is that a radiation oncologist? That is who I have an appointment with. How do they know where to radiate with SRT? Doug From: Nowak <tnowakgmail (DOT) com> Subject: Re: [ProstateCancerSupp ort] Re: Rise in PSA To: ProstateCancerSuppo rtyahoogroups (DOT) comDate: Tuesday, August 18, 2009, 10:49 AM This string has become somewhat confusing, between two Dougs and the sometimes contradictory thoughts. I want to help bring the thinking together. 1- PSA dynamics are different post treatment from pretreatment. Prior to treatment the tolerance for a higher PSA is reasonable as a normal prostate does make PSA and as we age the prostate tends to get larger and make even more PSA. In this case an elevated PSA doesn’t necessarily mean that there is prostate cancer or that it is in need of treatment. 2- PSA tolerance changes post surgery and post radiation from the pretreatment time period. After treatment a nadir PSA level is reached (a baseline, background PSA level.) If the treatment has been successful this number is either undetectable or extremely low (measured in the hundredths) in the case of surgery or a little higher post radiation (the prostate gland remains in the body after radiation so more PSA is often generated). Nadir is usually reached more quickly post surgery, but post radiation it can take up to a year to reach nadir. 3- Once nadir is reached PSA needs to be monitored regularly to insure it stays at nadir. Schedules should be every 3 months for the first few years and then can go to every six months for the rest of your life. 4- If there is a change in PSA levels post treatment even more careful and more regular monitoring needs to be performed. Most docs consider three (3) rises after obtaining nadir means there has been a recurrence. It does not matter how low or how high these rises are, even if they are measured in the tenths of a point, three rises means there is a recurrence. 5- Delaying or denying a recurrence can be fatal. One should never wait. Most docs feel that a recurrence with a PSA level below 1.0 to 1.4 probably means (but does not guarantee) that there is a good chance the recurrence is still localized. This means that the cancer is still in the prostate bed or the gland itself in the case of men who had been treated with radiation. If the cancer is still localized then a targeted treatment (salvage radiation, surgery or cryo) might still “cure†or adequately control the cancer. 6- In the case where the PSA has been allowed to exceed the target 1.0 to 1.4 numbers the cancer has probably moved beyond the immediate area and a targeted therapy will not work. In these cases, the proper treatment is a system wide treatment such as hormone therapy. This is the reason it is necessary to jump quickly on a recurrence while the PSA remains under 1..0. In cases of the PSA level being below the target numbers the sooner the treatment the better the shot at stopping the cancer. 7- Do not get lulled into ignoring a recurrence while the PSA is low because there is no positive imaging (no mets seen). It takes millions of cells to become visible on our scans, so you can say you do not have metastatic disease, but you still have prostate cancer running through your body, we just can not see it. 8- Always make sure that the PSA tests are performed with the same reagents, ideally at the sane lab. A PSA rise using a different reagent may not be a rise; it could easily reflect a difference in the testing protocol and fool you into thinking that you have a recurrence. 9- Prostate cancer recurrences can be controlled, but it must be done very early on in the PSA number game. 10- PSA in the post treatment world is different than in the pretreatment world, don’t confuse the issues. Recent Activity 5 New Members Visit Your Group Give Back Yahoo! for Good Get inspired by a good cause. Y! Toolbar Get it Free! easy 1-click access to your groups. Yahoo! Groups Start a group in 3 easy steps. Connect with others. T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer..net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer-- -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer Together Survivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 , is that a radiation oncologist? That is who I have an appointment with. How do they know where to radiate with SRT? Doug From: Nowak <tnowakgmail (DOT) com> Subject: Re: [ProstateCancerSupp ort] Re: Rise in PSA To: ProstateCancerSuppo rtyahoogroups (DOT) comDate: Tuesday, August 18, 2009, 10:49 AM This string has become somewhat confusing, between two Dougs and the sometimes contradictory thoughts. I want to help bring the thinking together. 1- PSA dynamics are different post treatment from pretreatment. Prior to treatment the tolerance for a higher PSA is reasonable as a normal prostate does make PSA and as we age the prostate tends to get larger and make even more PSA. In this case an elevated PSA doesn’t necessarily mean that there is prostate cancer or that it is in need of treatment. 2- PSA tolerance changes post surgery and post radiation from the pretreatment time period. After treatment a nadir PSA level is reached (a baseline, background PSA level.) If the treatment has been successful this number is either undetectable or extremely low (measured in the hundredths) in the case of surgery or a little higher post radiation (the prostate gland remains in the body after radiation so more PSA is often generated). Nadir is usually reached more quickly post surgery, but post radiation it can take up to a year to reach nadir. 3- Once nadir is reached PSA needs to be monitored regularly to insure it stays at nadir. Schedules should be every 3 months for the first few years and then can go to every six months for the rest of your life. 4- If there is a change in PSA levels post treatment even more careful and more regular monitoring needs to be performed. Most docs consider three (3) rises after obtaining nadir means there has been a recurrence. It does not matter how low or how high these rises are, even if they are measured in the tenths of a point, three rises means there is a recurrence. 5- Delaying or denying a recurrence can be fatal. One should never wait. Most docs feel that a recurrence with a PSA level below 1.0 to 1.4 probably means (but does not guarantee) that there is a good chance the recurrence is still localized. This means that the cancer is still in the prostate bed or the gland itself in the case of men who had been treated with radiation. If the cancer is still localized then a targeted treatment (salvage radiation, surgery or cryo) might still “cure†or adequately control the cancer. 6- In the case where the PSA has been allowed to exceed the target 1.0 to 1.4 numbers the cancer has probably moved beyond the immediate area and a targeted therapy will not work. In these cases, the proper treatment is a system wide treatment such as hormone therapy. This is the reason it is necessary to jump quickly on a recurrence while the PSA remains under 1..0. In cases of the PSA level being below the target numbers the sooner the treatment the better the shot at stopping the cancer. 7- Do not get lulled into ignoring a recurrence while the PSA is low because there is no positive imaging (no mets seen). It takes millions of cells to become visible on our scans, so you can say you do not have metastatic disease, but you still have prostate cancer running through your body, we just can not see it. 8- Always make sure that the PSA tests are performed with the same reagents, ideally at the sane lab. A PSA rise using a different reagent may not be a rise; it could easily reflect a difference in the testing protocol and fool you into thinking that you have a recurrence. 9- Prostate cancer recurrences can be controlled, but it must be done very early on in the PSA number game. 10- PSA in the post treatment world is different than in the pretreatment world, don’t confuse the issues. Recent Activity 5 New Members Visit Your Group Give Back Yahoo! for Good Get inspired by a good cause. Y! Toolbar Get it Free! easy 1-click access to your groups. Yahoo! Groups Start a group in 3 easy steps. Connect with others. T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer..net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer-- -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer Together Survivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 > , is that a radiation oncologist? That is who I have an > appointment with. How do they know where to radiate with SRT? > Doug A radiation oncologist is different from a medical oncologist. The rad onc uses radiation to treat cancer. The med onc uses drugs. In your case, I would recommend seeing a rad onc first. If you do have a recurrence, and if it is " local " , i.e., in the region of the prostate, he can " cure " it with radiation. If that fails, or if your PSA climbs to the point where it is very unlikely to be a local recurrence, then you'll need a med onc. But I'd try the rad onc first. As for how they know where to radiate, as far as I know, the answer is, they don't know. What they do is radiate the area where the prostate was and some tissue around it, probably extending about a centimeter in all directions. They're hoping that all the cancer is in that area, but they might be wrong. Unfortunately, radiation at doses high enough to kill cancer is dangerous. The doctor can't just radiate the whole body. It might kill you or cause other serious problems down the road. So they limit the radiation to the area around the prostate where no other vital structures are likely to be too damaged. They only do this if there is no evidence that the cancer has spread. Note that I didn't say that they want evidence that the cancer has NOT spread. There is no way to prove that it has not spread. When it does spread it does so a little at a time and takes months or years to reach the point where it is detectable outside the prostate region. If it is detectable, or if the PSA is high enough to indicate that it has probably spread even if they can't detect it, they won't radiate. You'll be sent to a med onc for system treatment with drugs. I'm hoping that the last PSA test you got was a fluke and your next one will be undetectable again. But it's best to stay on top of this and educate yourself on the issues and the options. Good luck. Alan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 > , is that a radiation oncologist? That is who I have an > appointment with. How do they know where to radiate with SRT? > Doug A radiation oncologist is different from a medical oncologist. The rad onc uses radiation to treat cancer. The med onc uses drugs. In your case, I would recommend seeing a rad onc first. If you do have a recurrence, and if it is " local " , i.e., in the region of the prostate, he can " cure " it with radiation. If that fails, or if your PSA climbs to the point where it is very unlikely to be a local recurrence, then you'll need a med onc. But I'd try the rad onc first. As for how they know where to radiate, as far as I know, the answer is, they don't know. What they do is radiate the area where the prostate was and some tissue around it, probably extending about a centimeter in all directions. They're hoping that all the cancer is in that area, but they might be wrong. Unfortunately, radiation at doses high enough to kill cancer is dangerous. The doctor can't just radiate the whole body. It might kill you or cause other serious problems down the road. So they limit the radiation to the area around the prostate where no other vital structures are likely to be too damaged. They only do this if there is no evidence that the cancer has spread. Note that I didn't say that they want evidence that the cancer has NOT spread. There is no way to prove that it has not spread. When it does spread it does so a little at a time and takes months or years to reach the point where it is detectable outside the prostate region. If it is detectable, or if the PSA is high enough to indicate that it has probably spread even if they can't detect it, they won't radiate. You'll be sent to a med onc for system treatment with drugs. I'm hoping that the last PSA test you got was a fluke and your next one will be undetectable again. But it's best to stay on top of this and educate yourself on the issues and the options. Good luck. Alan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 Alan, what are typical side effects of SRT? Thanks Doug > , is that a radiation oncologist? That is who I have an > appointment with. How do they know where to radiate with SRT? > Doug A radiation oncologist is different from a medical oncologist. The rad onc uses radiation to treat cancer. The med onc uses drugs. In your case, I would recommend seeing a rad onc first. If you do have a recurrence, and if it is "local", i.e., in the region of the prostate, he can "cure" it with radiation. If that fails, or if your PSA climbs to the point where it is very unlikely to be a local recurrence, then you'll need a med onc. But I'd try the rad onc first. As for how they know where to radiate, as far as I know, the answer is, they don't know. What they do is radiate the area where the prostate was and some tissue around it, probably extending about a centimeter in all directions. They're hoping that all the cancer is in that area, but they might be wrong. Unfortunately, radiation at doses high enough to kill cancer is dangerous. The doctor can't just radiate the whole body. It might kill you or cause other serious problems down the road. So they limit the radiation to the area around the prostate where no other vital structures are likely to be too damaged. They only do this if there is no evidence that the cancer has spread. Note that I didn't say that they want evidence that the cancer has NOT spread. There is no way to prove that it has not spread. When it does spread it does so a little at a time and takes months or years to reach the point where it is detectable outside the prostate region. If it is detectable, or if the PSA is high enough to indicate that it has probably spread even if they can't detect it, they won't radiate. You'll be sent to a med onc for system treatment with drugs. I'm hoping that the last PSA test you got was a fluke and your next one will be undetectable again. But it's best to stay on top of this and educate yourself on the issues and the options. Good luck. Alan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 They radiate the prostate bed, or the tissue that is in the general area around where the prostate gland had been located. No, a radiation oncologist is different than a medical oncologist. The radiation oncologist specializes in radiation treatment. They might use hormone therapy, but this is to enhance the radiation treatment. A medical oncologist would not " do " the radiation, but would send you to a radiation doc for the actual treatment. A medical oncologist would serve as the captain of the ship, coordinating all the treatments you might require. Personally, before doing the radiation, I would also see a medical oncologist (one who specifically specializes in treating advanced prostate cancer). , is that a radiation oncologist? That is who I have an appointment with. How do they know where to radiate with SRT? Doug From: Nowak <tnowakgmail (DOT) com> Subject: Re: [ProstateCancerSupp ort] Re: Rise in PSA To: ProstateCancerSuppo rtyahoogroups (DOT) comDate: Tuesday, August 18, 2009, 10:49 AM This string has become somewhat confusing, between two Dougs and the sometimes contradictory thoughts. I want to help bring the thinking together. 1- PSA dynamics are different post treatment from pretreatment. Prior to treatment the tolerance for a higher PSA is reasonable as a normal prostate does make PSA and as we age the prostate tends to get larger and make even more PSA. In this case an elevated PSA doesn’t necessarily mean that there is prostate cancer or that it is in need of treatment. 2- PSA tolerance changes post surgery and post radiation from the pretreatment time period. After treatment a nadir PSA level is reached (a baseline, background PSA level.) If the treatment has been successful this number is either undetectable or extremely low (measured in the hundredths) in the case of surgery or a little higher post radiation (the prostate gland remains in the body after radiation so more PSA is often generated). Nadir is usually reached more quickly post surgery, but post radiation it can take up to a year to reach nadir. 3- Once nadir is reached PSA needs to be monitored regularly to insure it stays at nadir. Schedules should be every 3 months for the first few years and then can go to every six months for the rest of your life. 4- If there is a change in PSA levels post treatment even more careful and more regular monitoring needs to be performed. Most docs consider three (3) rises after obtaining nadir means there has been a recurrence. It does not matter how low or how high these rises are, even if they are measured in the tenths of a point, three rises means there is a recurrence. 5- Delaying or denying a recurrence can be fatal. One should never wait. Most docs feel that a recurrence with a PSA level below 1.0 to 1.4 probably means (but does not guarantee) that there is a good chance the recurrence is still localized. This means that the cancer is still in the prostate bed or the gland itself in the case of men who had been treated with radiation. If the cancer is still localized then a targeted treatment (salvage radiation, surgery or cryo) might still “cure” or adequately control the cancer. 6- In the case where the PSA has been allowed to exceed the target 1.0 to 1.4 numbers the cancer has probably moved beyond the immediate area and a targeted therapy will not work. In these cases, the proper treatment is a system wide treatment such as hormone therapy. This is the reason it is necessary to jump quickly on a recurrence while the PSA remains under 1..0. In cases of the PSA level being below the target numbers the sooner the treatment the better the shot at stopping the cancer. 7- Do not get lulled into ignoring a recurrence while the PSA is low because there is no positive imaging (no mets seen). It takes millions of cells to become visible on our scans, so you can say you do not have metastatic disease, but you still have prostate cancer running through your body, we just can not see it. 8- Always make sure that the PSA tests are performed with the same reagents, ideally at the sane lab. A PSA rise using a different reagent may not be a rise; it could easily reflect a difference in the testing protocol and fool you into thinking that you have a recurrence. 9- Prostate cancer recurrences can be controlled, but it must be done very early on in the PSA number game. 10- PSA in the post treatment world is different than in the pretreatment world, don’t confuse the issues. Recent Activity 5 New Members Visit Your Group Give Back Yahoo! for Good Get inspired by a good cause. Y! Toolbar Get it Free! easy 1-click access to your groups. Yahoo! Groups Start a group in 3 easy steps. Connect with others. T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer..net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer-- -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer Together Survivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer Together Survivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostatecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare.com - information and support about prostate cancer http://health.groups.yahoo.com/group/advancedprostatecancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 They radiate the prostate bed, or the tissue that is in the general area around where the prostate gland had been located. No, a radiation oncologist is different than a medical oncologist. The radiation oncologist specializes in radiation treatment. They might use hormone therapy, but this is to enhance the radiation treatment. A medical oncologist would not " do " the radiation, but would send you to a radiation doc for the actual treatment. A medical oncologist would serve as the captain of the ship, coordinating all the treatments you might require. Personally, before doing the radiation, I would also see a medical oncologist (one who specifically specializes in treating advanced prostate cancer). , is that a radiation oncologist? That is who I have an appointment with. How do they know where to radiate with SRT? Doug From: Nowak <tnowakgmail (DOT) com> Subject: Re: [ProstateCancerSupp ort] Re: Rise in PSA To: ProstateCancerSuppo rtyahoogroups (DOT) comDate: Tuesday, August 18, 2009, 10:49 AM This string has become somewhat confusing, between two Dougs and the sometimes contradictory thoughts. I want to help bring the thinking together. 1- PSA dynamics are different post treatment from pretreatment. Prior to treatment the tolerance for a higher PSA is reasonable as a normal prostate does make PSA and as we age the prostate tends to get larger and make even more PSA. In this case an elevated PSA doesn’t necessarily mean that there is prostate cancer or that it is in need of treatment. 2- PSA tolerance changes post surgery and post radiation from the pretreatment time period. After treatment a nadir PSA level is reached (a baseline, background PSA level.) If the treatment has been successful this number is either undetectable or extremely low (measured in the hundredths) in the case of surgery or a little higher post radiation (the prostate gland remains in the body after radiation so more PSA is often generated). Nadir is usually reached more quickly post surgery, but post radiation it can take up to a year to reach nadir. 3- Once nadir is reached PSA needs to be monitored regularly to insure it stays at nadir. Schedules should be every 3 months for the first few years and then can go to every six months for the rest of your life. 4- If there is a change in PSA levels post treatment even more careful and more regular monitoring needs to be performed. Most docs consider three (3) rises after obtaining nadir means there has been a recurrence. It does not matter how low or how high these rises are, even if they are measured in the tenths of a point, three rises means there is a recurrence. 5- Delaying or denying a recurrence can be fatal. One should never wait. Most docs feel that a recurrence with a PSA level below 1.0 to 1.4 probably means (but does not guarantee) that there is a good chance the recurrence is still localized. This means that the cancer is still in the prostate bed or the gland itself in the case of men who had been treated with radiation. If the cancer is still localized then a targeted treatment (salvage radiation, surgery or cryo) might still “cure” or adequately control the cancer. 6- In the case where the PSA has been allowed to exceed the target 1.0 to 1.4 numbers the cancer has probably moved beyond the immediate area and a targeted therapy will not work. In these cases, the proper treatment is a system wide treatment such as hormone therapy. This is the reason it is necessary to jump quickly on a recurrence while the PSA remains under 1..0. In cases of the PSA level being below the target numbers the sooner the treatment the better the shot at stopping the cancer. 7- Do not get lulled into ignoring a recurrence while the PSA is low because there is no positive imaging (no mets seen). It takes millions of cells to become visible on our scans, so you can say you do not have metastatic disease, but you still have prostate cancer running through your body, we just can not see it. 8- Always make sure that the PSA tests are performed with the same reagents, ideally at the sane lab. A PSA rise using a different reagent may not be a rise; it could easily reflect a difference in the testing protocol and fool you into thinking that you have a recurrence. 9- Prostate cancer recurrences can be controlled, but it must be done very early on in the PSA number game. 10- PSA in the post treatment world is different than in the pretreatment world, don’t confuse the issues. Recent Activity 5 New Members Visit Your Group Give Back Yahoo! for Good Get inspired by a good cause. Y! Toolbar Get it Free! easy 1-click access to your groups. Yahoo! Groups Start a group in 3 easy steps. Connect with others. T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer..net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer-- -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer Together Survivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer Together Survivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostat ecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare. com - information and support about prostate cancer http://health. groups.yahoo. com/group/ advancedprostate cancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer -- T Nowak MA, MSWDirector for Advocacy and Advanced Prostate Cancer Programs, Malecare Inc. Fighting Cancer TogetherSurvivor - Thyroid, Recurrent Prostate and Renal Cancers www.advancedprostatecancer.net - A blog about advanced and recurrent prostate cancerwww.malecare.com - information and support about prostate cancer http://health.groups.yahoo.com/group/advancedprostatecancer/ - an online support group for men and their families diagnosed with advanced and recurrent prostate cancer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 > Alan, what are typical side effects of SRT? Thanks Doug I previously suggested looking on the YANA site for information about this. I had radiation but not of the SRT variety. Alan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 Sorry, I missed that. Probably could just google it too. Doug > Alan, what are typical side effects of SRT? Thanks Doug I previously suggested looking on the YANA site for information about this. I had radiation but not of the SRT variety. Alan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 2009 Report Share Posted August 18, 2009 > Sorry, I missed that. Probably could just google it too. Doug A great deal of objective and reliable information can be found on the site of the Prostate Cancer Research Institute. Regarding SEs of RT, see the list of articles at http://www.googlesyndicatedsearch.com/u/pcri?q=radiation+therapy+side+effects & bt\ nG=Search & hl=en & ie=ISO-8859-1 & sa=2 or, better http://tinyurl.com/n7d4so Not all patients experience the same SEs, nor to the same degree. No one can be sure what any individual will experience. Of course, much depends upon where the radiation is directed and in what intensity. Regards, Steve J " Radiation treatment today is *not* your grandfather's radiation treatment. " -- Rose, MD Radiation Oncologist At the 2007 PCRI Conference Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.