The Well Reviewed Guide to Advanced Prostate Cancer (A Survivor Perspective) Has Been Updated and is Now Available for a free Download

Somehow I have been negligent and not let people know that I have written and posted a major update of my “Guide to Advanced Prostate Cancer.” As in the past, it is available as a free download from the Malecare web site. Helping me to update the book was prostate cancer survivor Craig Pynn and [...]

Toxicity Analysis of Lymph Node Irradiation for Men with Prostate Cancer Treated with IMRT

The standard of treatment for men who have a localized recurrence in lymph nodes (LN) after surgery is intensity modulated radiation therapy (IMRT) as well as with men who have high-risk prostate cancer which includes cancer in both the prostate and seminal vesicles (SV).  As with all treatments the use of IMRT comes with many [...]

What Is The Best Treatment For Oligo-Recurrent Prostate Cancer – A Literature Review

When I had my prostate cancer recurrence it was characterized by a PSA in the mid 80s and a few positive lymph nodes showing on scans. My situation (oligo-recurrent prostate cancer) was described in a recent literature review called Salvage Therapy of Small Volume Prostate Cancer Nodal Failures: A Review of the Literature. The review [...]

Positive Surgical Margins – Do They Really Matter and Do They Effect How Long You Are Going To Live?

Men who elect to have a radical prostatectomy (surgical treatment for prostate cancer) as their primary treatment often panic if they find out that they had positive surgical margins (PSMs).  Positive surgical margins are an indication for the use of adjuvant radiotherapy.   Despite this automatic response the association between PSMs and prostate cancer-specific mortality (CSM) [...]

Salvage Radio Therapy Extends Life Without Regard to PSA Doubling Time

Researchers at Duke University observed a survival benefit for men who had salvage radiation therapy (RT) for prostate-specific antigen (PSA) failure after radical prostatectomy (RP) in the men who experience a rapid rises in PSA doubling time (DT,< 6 months). They then asked whether such a benefit also exits in men with a protracted PSA [...]

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