Prostate Cancer Oligometastases | Dr. Kwon | 2014 Prostate Cancer Patient Conference
Vložit
- čas přidán 8. 10. 2017
- Prostate Cancer Research Institute
2014 Prostate Cancer Patient Conference
Prostate Cancer Oligometastases | Dr. Eugene Kwon
The information on the Prostate Cancer Research Institute's CZcams channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.
#ProstateCancer #Prostate #EugeneKwonMD
This guy is the most caring doctor I’ve ever met. I visited him back in March.
This is one of the most informative presentations on prostate cancer that I have seen. Too bad so few have seen it and fewer still have liked it.
Thankyou, clinicians & 'funders', for this worthwhile series.
Very informative lecture, and very motivational to push for a cure instead of palliative suppression. Now I am comfortable to wait for my PSMA PET scan until PSA rises and then push for treatment of oligometastatic sites that show up. Since my prostatectomy was negative margins there is no strong evidence for cancer in the prostate bed needing radiation, but there was one 3mm removed ePLND lymph node with 1mm of cancer. 30 day PSA was 0.05 ng/ml, so waiting for 60 day PSA to see if it goes undetectable. Then will wait for PSA rise above .2 before doing PSMA PET, to look for oligometastases. Thank you Dr. Kwon.
60 day PSA was
Brilliant presentation from all Doctors, well-done, I learnd alot thank you, from Australia.
If you’ve come across this video, I believe you have found the top doctor and clinic in the country giving advanced recurrent prostate cancer patients hope. I am one of them. I was found to have prostate cancer in 2005 with a Gleason score of 3 + 4 = 7 and subsequently had a robotic prostatectomy locally that initially yielded an undetectable PSA value. My cancer came back about e years later for which I had 39 treatments of salvage radiation therapy locally. Unfortunately, my PSA never returned to zero. I graphically plotted my monotonic increasing PSA over several months. For the next few years I went to my local urologist and a well-known cancer center in my state and had several MRI scans. None of these scans could find any tumors and both recommended a “watchful waiting” approach and hinted at palliative care in the future. In 2016, thanks to research by my wonderful wife, we found out about the C-11 choline PET scan that Dr. Kwon and others at Mayo developed. This scan found at least 3 large tumors in various locations all of which were surgically inoperable. Dr. Kwon immediately started me on chemotherapy, hormone therapy and later radiation therapy for which my tumors responded and my PSA returned to non-detectable values. Unfortunately, after about 9 months my cancer returned. I’ve since had 25 additional treatments of external beam radiation therapy, 2 MR cryoablations, a surgical removal of a lymph node, 3 tumor directed radiation treatments, and a second chemotherapy regimen. About a year ago my prostate cancer no longer showed up in a C-11 choline PET scan, but did present itself in a PSMA PET scan. I have now received 5 Lutetium 177 treatments and am fortunate that this treatment is lowering my PSA with no uptake being seen in the scans. Some people like talking about their ailments (I’ve been fighting it for over 16 years) but the purpose I have for detailing my journey here is to give you hope with Dr. Kwon and Mayo Clinic. I believe I’d now be dead if I’d listened to my local doctors. As you can see Dr. Kwon believes in concurrent aggressive therapies and hitting this insidious disease with every weapon and treatment available. I believe no healing comes without our Lord and Savior Jesus Christ and many times works through doctors and others. Dr. Kwon and his staff and Mayo have developed a method and plan for treating this disease and are constantly researching and developing new ways to combat it. Dr. Kwon seems to have irrepressible energy, tirelessly working to destroy this disease and deep compassion for his patients, while yet being friendly, fun, and professional. It's always a joy to interact with him and his great team. I repeatedly travel 1000+ miles several times a year to benefit from his expertise and care. If you have prostate cancer, especially recurrent stage 4 prostate cancer like I do, I recommend you get an appointment with Dr. Kwon at Mayo as soon as possible.
See also Dr. Kwon's newer videos on CZcams.
Wow, thank you so much for your story. It was truly inspirational. I just wish we had doctors like Dr Kwon here in Australia. I am a woman writing on my husband's CZcams account. I am researching as much as I can find on treatments for stage 4 metastatic prostate cancer. My husband is about to start chemotherapy, a drug called "docetaxel ". He is despondent and frightened given the horrendous side effects it can cause. Seems almost that the treatment is worse than the disease. I have found Doctors here in Australia do not treat the disease as aggressively as they do in America. Anyway, I will be bringing the information I have learned in this video up with his doctors, and after reading your story I am now hopeful. Thank so very very much once again. God be with you always.
@@andrewmiller4885 I'm sorry to hear your husband has stage 4 metastatic prostate cancer. It can be frightening and depressing. I've found the Lord Jesus Christ to be the only real true hope. He is the Great Physician and heals more than just the body and the reason I'm still alive today. He may heal directly or through doctors; but He deserves all the credit. (It's good to lookup all the references to healing in the Bible. Get your church and friends to pray for both of you.) The first line of treatment for me was chemotherapy using taxotere which is another name for docetaxel. In my case I didn't have horrendous side-effects or get severe nausea, but did lose my hair (on head and body) and was a bit tired after each infusion. My hair came back though thinner on my head but never came back on my body -- kind of a bummer, but no big deal. After several months I also ended up with neuropathy in my feet, but not all people develop this. Each person can have a different response to the chemotherapy; but I wouldn't characterize it as the worst thing ever. If your husband were here, I'd tell him this won't be easy but he can do this(!) putting his faith in Jesus and having hope. It's also good to have a daily exercise routine throughout this whole time including during chemotherapy treatments - not easy but important for his body, and also his emotional state. My wife and I will praying for you and your husband. May the Lord bless you all.
Your presentation offers so much hope!
So imformative + entertaining
very informative, calling my radiological oncologists now for consult
I wonder if Kwan's psa threshold of waiting until 2 has dropped with the more sensitive psma scans.
I know Dr. Scholz has said before that PSMA PET can detect disease with a PSA as low as 0.2, but the detection rate is a lot higher at 0.5. If you can get multiple scans, maybe 0.2 would be a good place to start; however, it may fail to find anything. If you are going to be paying full price or traveling, and those are prohibitive for you getting multiple scans, maybe 0.5 might be best.
This clip from our Thomas Hope, MD talk discusses this: czcams.com/video/hvsPO8u5ljk/video.html
His full talk is here: czcams.com/video/8fajSFzRdlg/video.html
And if you want to see the full talk plus his Q&A, you can go here: czcams.com/video/mQzpdvLBeVM/video.html