This is a very good baseline criteria or standard. However, there are as many criteria and standards as their are doctors and institutions for AS. There is no accepted universal agreement, even within institutions, nationally or globally. It’s really about risk stratification, knowing your risk of metastasis and knowing your personal risk tolerance. More simply, can you tell the rabbits from the turtles.
I agree with your comment. This is why talking with your personal physicians is so important. The lower the risk of prostate cancer and the higher the age, the more likely situation for active surveillance success.
@The Prostate Coach What a coincidence yesterday . MSK doctor mentioned that I am unfavorable intermediate psa over 10 . 4k blood test 11.42 . Therefore not a candidate for active monitoring. The main appointment initially was the result of my psma gal.68 = resulted localized however doc stated brachy therapy + imrt radiation = 90% cure ?? My question I prefer just seed only ??? Any suggestion thankyou extremely doctor?
@@sandybongos3836I’m no doctor, but I would speak with Prostate Cancer Research Institution. They may help with some free guidance. I would also ask about ablation theory. Some unfavorable intermediate may be candidates. Always, it depends on what you want. I know being a advocate for yourself is primary to getting the possibility of a good outcome, the outcome you want.
Can you talk a bit about lymph node cancer? I had a PSA of 21 and had a prostatectomy 6 months ago, but my PSA is now 0.12 and showing Metastatic cancer in the lymph nodes. My Consultant has put me on watch and wait with PSA and consultation every three months and has said I will need salvage treatment down the line, probably in a year or maybe a bit more. Any info would be welcome if you think it may assist others. Thank you.
If nodes are positive on imaging (PSMA Pet scan, etc), would consider systemic therapy sooner rather than later. Usually this would be done with ADT, anti-androgens, chemotherapy, and possibly spot radiation. Lots to consider with your physician.
I suspect the next step will be PSMA Pet scan to see if there are additional areas of prostate cancer spread. PSMA Pet scan can shows suspicious areas of uptake with PSAs even as low as 0.3. Again, talk with your physicians. Hope this helps.
This is a very good baseline criteria or standard. However, there are as many criteria and standards as their are doctors and institutions for AS. There is no accepted universal agreement, even within institutions, nationally or globally. It’s really about risk stratification, knowing your risk of metastasis and knowing your personal risk tolerance. More simply, can you tell the rabbits from the turtles.
I agree with your comment. This is why talking with your personal physicians is so important. The lower the risk of prostate cancer and the higher the age, the more likely situation for active surveillance success.
@The Prostate Coach What a coincidence yesterday . MSK doctor mentioned that I am unfavorable intermediate psa over 10 . 4k blood test 11.42 . Therefore not a candidate for active monitoring. The main appointment initially was the result of my psma gal.68 = resulted localized however doc stated brachy therapy + imrt radiation = 90% cure ?? My question I prefer just seed only ??? Any suggestion thankyou extremely doctor?
@@sandybongos3836I’m no doctor, but I would speak with Prostate Cancer Research Institution. They may help with some free guidance. I would also ask about ablation theory. Some unfavorable intermediate may be candidates. Always, it depends on what you want. I know being a advocate for yourself is primary to getting the possibility of a good outcome, the outcome you want.
Can you talk a bit about lymph node cancer? I had a PSA of 21 and had a prostatectomy 6 months ago, but my PSA is now 0.12 and showing Metastatic cancer in the lymph nodes. My Consultant has put me on watch and wait with PSA and consultation every three months and has said I will need salvage treatment down the line, probably in a year or maybe a bit more. Any info would be welcome if you think it may assist others. Thank you.
If nodes are positive on imaging (PSMA Pet scan, etc), would consider systemic therapy sooner rather than later. Usually this would be done with ADT, anti-androgens, chemotherapy, and possibly spot radiation. Lots to consider with your physician.
@@theprostatecoach8058 Thanks for ypo
Thanks for your kind reply. I'll take it up when I see him. No scan yet, just info from samples taken during operation.
I suspect the next step will be PSMA Pet scan to see if there are additional areas of prostate cancer spread. PSMA Pet scan can shows suspicious areas of uptake with PSAs even as low as 0.3. Again, talk with your physicians. Hope this helps.
@@theprostatecoach8058 It does, thank you very much for your attention. I'll be sure to press the point at the next consultation.