Is There A Role For Surgery In Men With Nodal Oligometastatic Prostate Cancer After A Biochemical Failure?

Recently there have been a number of conversations in the prostate media around the topic of treating oligometastatic prostate cancer with a curative goal. Oligometastatic prostate cancer describes the disease state where primary treatment has failed as evidenced by an increasing PSA along with scanning evidence of a limited number of lymph nodes involved in and near to the prostate bed. Because of the development of better scanning technology and scanning contrasts more oligometastatic disease has been identified and so the conversation escalated about their treatment. The most commonly discussed treatments have involved radiation therapy. In a presentation at the [...]

A Review of the Literature on the Treatment of Oligometastasis in Prostate Cancer

Oligometastasis can be described as a state of limited metastatic disease following failed primary treatment or even prostate cancer as it is first diagnosed. Many doctors believe that it is amenable to aggressive local therapy to achieve long-term survival. In a review designed to explore the role of ablative radiotherapy and surgical management of oligo-metastatic prostate cancer (CaP) researchers performed a systematic review of the literature from November 2003 to November 2013 in the PubMed and EMBASE databases using structured search terms. In the literature search, they identified 13 cases of oligometastatic CaP managed by surgery. The longest disease-free survival [...]

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 my own caretaker, Wendy Lebowitz. Anyone reading the first edition will be surprised when you see how many changes and updates this edition has included. It now has a very extensive conversation about living in the world as a cancer survivor as well as more [...]

A Real Life Experience Using A C-11 Choline Scan To Combat A Prostate Cancer Recurrence

In response to the post I wrote about Choline C-11 on December 11, 2013 Choline C-11 A Second Shot To Halt the Cancer After Primary Treatment Failure one of our group members contact me and shared that he was scheduled to have a similar scan. I asked if he would be willing to share his experience. The following is his discussion: Greetings to my brothers and sisters, My name is Brian and, like most of you, I have prostate cancer. On December 26th, I read Joel's daily blog on Choline C-11 PET Scan. I thought the timing with that post [...]

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