Data Supports A Radical Prostatectomy Option for Some Localized Advanced Prostate Cancer

I have often had men recently diagnosed with advanced, metastatic prostate cancer call me and ask if surgery makes any sense for them to consider. I have never been sure how to respond given that their cancer is known to be already out of their gland. In response to this common question, researchers from the [...]

Perineural Invasion On Prostate Biopsy: Does It Mean that I Have Advanced Prostate Cancer?

The simple answer is NO, however it should change your treatment game plan. A member of one of my support groups who has been doing active surveillance for about 5 years recently reported that their current biopsy indicated that they now have perineural invasion (PNI). They did not understand what was the significance of [...]

Mortality is Directly Related to Both Time to Recurrence and Risk Level of Prostate Cancer

Mortality prospects after a prostate cancer recurrences following a radical prostatectomy has always been assumed to be directly related to the early development of metastases. A study from Melbourne Australia indicates that men with low-risk prostate cancer have good mortality prospects even when they experience early biochemical recurrence. The first author of the study, Anthony [...]

To Treat or Not To Treat, That Is The Question

There are no right or wrong answers for men with prostate cancer when trying to decide what treatment to have, or even if they want to have treatment. One vital piece of information that is often left out of the equation is the chance of dying from prostate cancer if a man chooses not to [...]

Gleason Score of 3+4 is not equal to 4+3 in Lethal Prostate Cancer

When diagnosed I was told that I had a Gleason score of 7, calculated by adding the first number, a descriptor of the most prevalent cancer cells in the biopsy sample, to the second number, a descriptor for the second most prevalent cancer cells. In my case the actual Gleason score was 4+3 or a [...]

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