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PCRI Conference interesting points made

Posted by jeffMar @jeffmarc, Mar 30 12:48pm

Grade group, one HIGH volume likely to proceed to treatment.
5-10% of GG1 within 5 years before progression
Within 10 years 51% of Gleason 6 on AS have to be treated.
High volume is >5 cores found with Gleason 6.

Undergo holep prostate treatment and over 100cc prostate PSA dropped from 11 to 2

MPS2 test is a urine-based test that helps assess the risk of prostate cancer in men. It is a more advanced version of the original MyProstateScore (MPS) test

Prostox a test see if SBRT is too much radiation

PNI and extra capillary extensions do not predict metastasis

2.7mm is smallest cancer spot a PSMA scan can see

When PSA rises but can’t find it in the PSMA Pet scan do an MRI, it will be found in Retroperitoneum or lung with high frequency

Seeds for metastasis were already there when surgery was done, waited to grow.

More IMRT than SBRT financial reasons, it’s just more profitable to do all those sessions.

Scholz
Having a metastasis doesn’t mean you can’t be cured. He has people he has just Zapped their metastasis, and when they came back, did it again. In some cases people don’t come back, Somethings he stressed a lot.

Optimum trial ultrasound to see metastasis

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

ezupcic | @ezupcic | 5 days ago

If such a large portion of people with Gleason 6 will eventually require treatment and or develop clinically significant cancer, does that end the debate about whether Gleason 6 should be called “cancer”?

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brianjarvis | @brianjarvis | 5 days ago
In reply to @jeffmarc "I did specify what high volume meant. Greater than five cores with Gleason 6 or more...." + (show)
@jeffmarc

I did specify what high volume meant. Greater than five cores with Gleason 6 or more. In that case, they found that people on AS Were likely to have active prostate cancer within five years.

Jump to this post

I had read that a high-volume Gleason 6 prostate cancer, while still considered low-risk, may warrant active surveillance or treatment - but, that applied to younger men. What I should’ve asked was what age was being considered with this high-volume Gleason 6?

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jeffMar | @jeffmarc | 5 days ago

I do not think any age range was mentioned

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heavyphil | @heavyphil | 4 days ago

I will weave these two threads together….see how I did that Hans?😉.
A friend of mine was Gleason 6 on AS for about 3 yrs. He was a physician so he prescribed himself metformin, doxycycline and OTC aspirin.
His next biopsy showed only PIN. I lost touch with him so don’t know what eventually happened.

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