First radiation oncology appointment today

I don't do abbreviations very well at all, so I cannot comment constructively

@texasnole
ADT = androgen deprivation therapy
AR = Androgen Receptor
ARSI = Androgen Receptor Signalling Inhibitor
AS = active surveillance
AUS = artificial urinary sphincter
BCR = Biochemical Recurrence - elevated PSA after treatment followed by undetectable test
BMD = bone mineral density
BMI = body mass index
BPH = benign prostatic hyperplasia or hypertrophy
BRACHY = brachytherapy
BRFS = Biochemical Recurrence Free Survival
BS = bone scan
BX = biopsy
Ca = cancer
CAT SCAN = computerized axial tomography; same as CT scan
CBC = complete blood count
CEA = carcinoembryonic antigen
CGA = chromogranin A
CHEMO = chemotherapy
CMP = Comprehensive Metabolic Panel
CRPC = Castrate Resistant Prostate Cancer
CRS = Cytokine Release Syndrome
CSS - Cancer-Specific Survival
CT SCAN = computerized tomography; also known as CAT scan or CT scan
DART = dynamic adaptive radiation therapy
DMFS = Distant Metastasis-Free Survival
DOM = doctor of oncological medicine
DRE = digital rectal examination
Dx = diagnosis
EBRT = external beam radiation therapy
ED = erectile dysfunction
EPE = Extraprostatic extension
FLA = focal laser ablation
GS = Gleason score
Gy = Gray, the unit of absorbed does of radiation
HDR = high dose rate; as in HDR brachytherapy
HIFU = high intensity focused ultrasound
HR = Hazard Ratio
HSPC = Castrate Sensitive Prostate Cancer
IDC + Intraductal carcinoma of the prostate
IGRT = image-guided radiation therapy
IMRT = intensity-modulated radiation therapy
IOTN = Immuno-Oncology Translation Network
LDR = low dose rate; as in LDR brachytherapy
LHRH = luteinizing hormone releasing hormone
M0 = No Distant Metastasis
M1 = Distant Metastasis
mCRPC - metastatic castration resistant prostate cancer
Mets = metastasis; cancer that has spread to other places in the body
mHSPC = Metastatic Castrate Sensitive Prostate Cancer
MO = medical oncologist
mpMRI = Multi-Parametric MRI
MRI = magnetic resonance imaging
Mx = metastasis
N0-N3 = status of cancer in the lymph nodes; subset of staging
NCCN = National Comprehensive Cancer Network
NCI = National Cancer Institute, USA
NED = No Evidence of Disease.
NIH = National Institutes of Health, USA
NK = Natural killer cells
nmCRPC = nonmetastatic castration resistant prostate cancer
ONCO = oncologist
OS = Overall Survival
PBRT = proton beam radiation therapy
PC = prostate cancer
PCa = prostate cancer
PCP = Primary Care Physician
PET = Positron Emission Tomography
PI-RADS = prostate imaging-recording and data system; used in assessment and evaluation of MRI scans for risk of prostate cancer
PLND = Pelvic Lymph Node Dissection
PNI = Perineural Invasion
PSA = prostate specific antigen
PSADT = PSA Doubling Time, Prostate-specific antigen doubling time
PSMA = prostate specific membrane antigen
PT = Physical Therapist
QOL = quality of life
RALP = robot-assisted laproscopic prostatectomy; similar to LRP but with “robotic” assistance
RARP = robot-assisted radical prostatectomy (same as RALP)
RCT = Randomized Clinical Trial
RO = radiation oncologist
RP = radical prostatectomy
RT = radiation therapy; also: right side
SBRT = stereotactic body radiation therapy
SE = side effects
SRT = Salvage Radiation Treatment
SUV = Standardized uptake value
SVI - seminal vesicle invasion
Sx = symptom
TPUS =Transperineal Ultrasound biopsy
TRT = testosterone replacement therapy
TRUS = transrectal ultrasound
TURP or TUR/P = transurethral resection of the prostate
TX = treatment
US = ultrasound
UTI = urinary track infection
VMAT = Volumetric Modulated Arc Therapy, a form of IMRT
WBC = white blood cell count

jmd, 3dCRT could be the best pretreatment planning. MRI guided treatment has the advantage because the prostate moves during treatment. Thanks for keeping us posted.

UPDATE: we’re moving forward with SBRT. Considering my low grade diagnosis (3+3=6 3+4=7 group 2 favorable intermediate) I won’t do testosterone therapy or anything else other than the 5 treatments. He even said active surveillance was still an option, but I’d rather just get it done and done. He gave a 90% chance of cure, with the usual ED/incontinence chances later on.

@wheel1 awesome. We all need a course on PROSTATE CANCER 101.

@ecu

@ecurb
Compliments of Colleen our Moderator

@jmgpdx68

I did active surveillance for 15 years after being diagnosed with 3+4. During those years, treatment methods became more accurate and more plentiful. If you have low quantity Gleason 4, like 10% or less active surveillance is a good option.

@jmgpdx68 did you have any evidence of EPE? Was testosterone therapy suggested? Did you have lesions on prostate?

@oldgreenpaint that’s true, and he did offer that as a perfectly acceptable option. I figure with my overall excellent health and age, it’s better to zap it now and be done with it!