Debulking & Metastatic
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- čas přidán 25. 08. 2024
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0:26 What is prostate cancer debulking? Should patients be aware of it?
1:47 Specifics of debulking
2:30 Should some metastases receive focused treatments over others?
3:13 Can cancer be left in the prostate after treating metastatic lesions?
5:00 What would an oncologist consider the gold standard for a metastatic patient?
6:20 Is debulking advisable in those with more than 5 metastatic spots?
7:38 What quality of life concerns are associated with debulking?
9:04 What is the biggest single benefit to prostate debulking?
9:54 Debulking summary
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Hi Dr I live in England UK, I was diagnosed with metastatic cancer to the lymph notes and bones, with a PSA 4080 back in October 2022 .
Since I found you I have followed all your advice with diet and exercise My PSA now stands at 1.1 ,
My cancer specialist nurse can’t believe my quick turnaround.
They put me on firmagon injections and apalutamide tablets and now they say I’m in remission ,if it wasn’t for following you Dr I wouldn’t be here. I recommend your channel to everyone in England. You have better information than the NHS.
Cheers from the Uk
Hi , I am in the same situation with metastases to bones and lymph nodes . I am on Cabaxitaxel chemo now. Any recommendations on diet and the injections ?
@@nambic1970
Hi,
Diet =fish and seafood, overnight oats with pumpkin seeds,blueberries, pomegranates in.
Plenty veg with sweet potato everyday. Cut out dairy and meat.
Drinks = kombucha, gunpowder green tea ,dandelion tea, burdock tea, tomato juice, pomegranate juice,carrot juice, and drink Guinness when I go out.
Supplements = black seed oil .turmeric and black pepper, apple cider vinegar and cayenne pepper cinnamon on the oats.
Exercise=. Pilitates, freeweights swimming 3 times a week walking.
Wim hoff breathe work along with cold showers and cold sea water therapy.
Positive Mind set
God bless u brother u work hard to get cured now enjoy life u got this ❤️🙏stay strong 💪
You guys have been a blessing ever since my dad was diagnosed with stage 4 prostate cancer in July 2023. I have always come here for resources and also had a chance to speak with an advocate on the phone from your organization. Since his diagnosis his PSA levels has gone from 2400 to 0.8 with the recent test. While I am still understanding the disease I believe advocating for him has played a huge role in us getting the interventions that he need. Thank you Alex and the team.
Can you give more details
What medical steps
Any dietary guidelines
Thank you once again for an extremely important and relevant discussion. My husband was diagnosed stage 4 de novo in April. We have a follow up appointment early next week with Dr. Kwon and will ask him about this topic as it may pertain to my husband's care.
Thanks for sharing your experience and knowledge
I think in the situation you describe triplet therapy followed by local control by radiation of the gland and pelvis should be what all patients should be offered. Local disease at the prostate can result in urinary obstruction at the urethra, bladder neck or level of the ureter. Every effort should be made to address this risk. The question in my mind particularly with lymph node metastasis is should mop up radioligand therapy be employed as is being done in some countries out side of the United States of America.
Thank you for the information very important my psa level 247
I go to utsw in Dallas and goad to have great doctors.
Could u post a link to the conversation you mentioned another patients with Metastatic disease Thank you
Wow very good discussion, it's me ???38 months in everything failing ,,,new gene test I'm bracket 1 and 2 pos want me to start lympatza??says it's last of things to try , do u think this is wise?? I do have bone Mets and lymph involvement,,please answer??
My dad has been diagnosed with prostate cancer which has metastised to the lymphnodes and pelvis girdle as per CT scan and mri with psa of 202 he has been put on zoladex injection, zytiga, casodex he just got his first ADT injection yesterday do you think the treatment is aggressive enough to combat the disease? He is also to do radiation once the tumor burden has reduced, kindly reply thanks
How’s your dad going now mate?
@@elijahghanbarnezad9909 he is doing well we thank God, thanks for asking
how is your dad doing? same diagnose here, just higher PSA
@@anabonn3044 he is doing well alhamdulillah treatment with plant based diet free from sugar has helped
How often should you have various scans to determine the condition of the metastases if the patient is still hormone sensitive?
I am 62 otherwise healthy from the uk 🇬🇧 on Adt and Nubequa.I was unable to have Docetaxel as I am allergic to the carrier.I am still castrate sensitive but I have multiple lesions in the spine pelvis ribs and neck.I have not had a psma pet scan only a bone ct scan.My PSA at diagnosis 6 months ago was 658 now it is down to 4 two months ago hopefully dropping further.I have requested genetic testing of my biolopsy tissue and will request a circulating tumour dna blood test to see if I am suitable for Parp inhibitors.I will ask about debulking at my next visit to my oncologist next visit.
Obviously I am thinking of getting pluvicto at some stage.Also is there much interest in Copper 64 in the US.?
Thankyou for these informative videos
Are you alive
Many thanks for your channel which i learn a lot on metastatic prostate cancer treatment.
May i know :
1 . Any possibility of stage 4 metastatic prostate cancer spread to bone but now PSA undetectable after combined hormone ( 8 months ) and chemo ( 6 times ) therapy treatment and now continue taking Abiraterone and prednisolone daily and Lucrine jab every 6 months live longer than 6 years.
During initial treament , PSA drops very quickly to undectable by 6 months .
Dr commented " fantastic " and no fatigue side effects at all.
2. Can stage 4 prostate cancer take Omega 3.
Thank you.
T.C.Lee
Many thanks to the one who like.
However , may i have the reply from Alex and Dr Scholz on :
1. Any chance i may live beyond 5 or 6 years ?
2 . Is there any risk for me to take daily one capsule OMEGA -3 ( 1000 mg ) ?
Kindly advise .
Thank you.
Regards,
Lee
Is the video of a conference with Dr. Moyad and Dr. Kwon about debulking public?
I think it's this video: "Do You Radiate The Whole Prostate While Having Metastatic Disease? | Evan Yu, MD & MarkMoyadMD"
czcams.com/video/Pdijtewz4QY/video.html
It seems like debulking is for non-treated patients who manifest metastatic lesions. What about patients who have already had treatments radiation etc.?