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PSA after RP
Oct 30, 2009 09:47PM in the Prostate Cancer Expert Forum
Thank you for your question. With Gleason 9 disease and SV involvement you are certainly a candidate for adjuvant radiation therapy. A recent study in 2008 showed that patients with pT3 disease had a lower risk of biochemical recurrence when treated with radiation following their prostatectomy. In the early 1990s, 425 men were enrolled in SWOG (Southwest ...
prostate cancer recurrence after 14 years?
Oct 30, 2009 09:20PM in the Prostate Cancer Expert Forum
Thank you for your question. Two widely used definitions of biochemical failure following radiation therapy for prostate cancer are the ASTRO and Phoenix. The ASTRO states that biochemical failure occurs when 3 consecutive rises in the PSA after the post-treatment PSA nadir using the midpoint between the nadir and the first rise. The Phoenix definition of bio...
testical pain
Oct 30, 2009 08:56PM in the Prostate Cancer Expert Forum
Thank you for your question. I know this has been addressed on this forum previously. Testicular pain could be caused by a host of different things 1) hernia 2) trauma 3) torsion (twisting of the testicle) 4) epididymitis (an inflammation often caused by infection of the testicle 5) testicular tumor 6) kidney stone. Testicular pain should be considered an ...
Checking the Prostate
Oct 30, 2009 08:52PM in the Prostate Cancer Expert Forum
Thank you for your question. You raise an interesting question about when should a man begin screening for prostate cancer and how should it be done. The AUA (American Urological Association) guidelines call for annual screening of "men 40 years of age or older who have a life expectancy of at least 10 years. Men who wish to be screened should have both ...
Assessing repeat biopsy
Oct 25, 2009 09:45PM in the Prostate Cancer Expert Forum
Thank you for your question. I can imagine the anxiety you are facing with these repeat evaluations. You are a good candidate for expectant management with periodic PSAs, Digital rectal examinations, and biopsies is par for the course. A repeat biopsy showing more than 2 cores positive and/or more than 50% cancer on any one core would be reason to seek out...
testical pain
Oct 25, 2009 09:17PM in the Prostate Cancer Expert Forum
Thank you for your question. I believe this topic has been covered extensively before in this forum. However, the causes of testicular pain can be ambiguous. They include 1) trauma 3) torsion (twisting of the testicle) 4) epididymitis (an inflammation often caused by infection of the testicle related to a sexually transmitted disease. To a lesser extent 1) te...