Prostate Cancer: Evolving Paradigms: From Biopsy to Treatment

[@josephmaher1350]

Thank you. Scheduled for biopsy in June but still uncertain. At age 77 factors pro& con, Have good quality of life now, wary of “ complications” from procedures.

[@TheLastDay-BobReese]

Superior presentation that was enormously helpful in helping clear up a lot of the confusion that exists today around Prostate cancer diagnosis and treatment!

[@Mountchoirboy]

I had second biopsy and it is still Gleason 6 but one core was 50% out of 7 positive but the others were very small percent. I am going to a radiological oncologist but still do not want to rush into treatment. I've been on AS for 3 years now. The DRE did not pick up any tumor so it may be localized. Not sure why I am being pushed to treatment-why not sooner biopsy like in a year rather then 2 years and keeping up with PSA I am a steady 5 PSA and have a very large prostate 62 volume.

[@justdoesntaddup8620]

So how are things now Glen ?

[@utubegary54]

Excellent presentation. Thank You.

[@cathum]

Awesome, and thanks for this informative lecture helping the prostate cancer community; 67 with PSA & PILAS measure 40 & 5, respectively; is it wise to move on with the treatment w/o tissue biopsy?

[@MrMnasser123]

Great lecture. Many thanks for the awosome material.

[@Riqrob]

Early 2009 showed PSA of 28. Active cancer. Joined study in Portland OR using Keytruda and Xtandi. Results when the prostate was removed was only microscopic cancer and only in removed prostate.

[@westfield90]

I wish the technological advances were even more better. For a decade I’ve been hearing about a full proof blood test which picks up dna of cancer but 10 years later it’s nowhere. The biopsy core method is alarming that it’s still being used.

[@nystagmus]

I like the way he explains things Wish this counted as a cme

[@linkking46]

beautiful thank you so much!

[@robpasofino9139]

Outstanding Presentation! - We need more forward thinking and better screening tools. Using 30 year old ultrasound technology is harmful to patients.

[@justdoesntaddup8620]

It’s not just the urinary and sexual function , clinicians also need to take into account the damage done to the total dynamics of relationships and existence. I ended up so sick I lost a lot of time off work , YES I had income protection insurance, but it was an enormous impact and that has resulted in irreversible financial damage at 67 , I don’t have youth to recover. The real problem was a comedy of errors that saw me discover I never should have been treated , the removed pathology showed 3+3=G6 , (grade 1). < 2 mm. (harmless) It was downgraded compared to biopsy. Try living with all that.

[@ferdinandblose5922]

Doctors and researchers are not singing the same song. They totally differ when it comes to prostate cancer. They research on men and ruin their lives.

[@Gruene2010]

It is better to have “overkill” in diagnosing than to let one prostate cancer move to stage 4. My husband’s doctor was so conservative and so sold on the “slow-moving” prostate cancer, that my husband now has stage 4 cancer at first biopsy. On hormone therapy now.

[@justdoesntaddup8620]

Thanks very much Staying , I am one of the many “overkilled” there was never any need for me to have surgery but our lives have been ruined by unnecessary clinical over care / cure. The numbers are proven as 30+ overserviced to save JUST ONE. To me your statement of non interest in those over diagnosed would be the same as me having ZERO care for your most distressing situation. BUT , I am just so sorry that you have the horror of a misdiagnosed high grade.

[@berthainesguerrabriones2956]

Around minute 23 you said need to screen 50 men to prevent one death , that is WRONG , you need to TREAT 50 MEN TO PREVENT ONE DEATH

[@justdoesntaddup8620]

YOU ARE INCORRECT , I can tell you for sure it’s no good being one of the 49 overtreated.