Prostate Specific Antigen and Histopathological Diagnosis for Early Prostate Cancer
(Source: BMJ Comments)
Source: BMJ Comments - April 14, 2024 Category: General Medicine Source Type: forums
Prostate cancer practice
Pretty self-explanatory.
Do you think you can survive in the community with just Prostate Cancer? If not, what about if you add bladder and kidney? (Source: Student Doctor Network)
Source: Student Doctor Network - March 25, 2024 Category: Universities & Medical Training Authors: droption Tags: Hematology / Oncology Source Type: forums
Cystoprostatectomy with Recurrence
I have a patient who underwent cystoprostatectomy for high grade urothelial ca throughout the bladder and concurrent high risk prostate cancer Gleason was 10, PSA was 10ng/ml and he had positive margin and ECE in 2022. Initial PSA undetectable but 1 year later it was 0.2 and now 0.6. PSMA PET shows gross recurrence in the bed (1.5cm metabolic nodule) and a positive R ext iliac node. He has bowel hanging down and sitting just above the pet positive lesion (about 1cm of space). The ileal...
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Source: Student Doctor Network - March 16, 2024 Category: Universities & Medical Training Authors: Haybrant Tags: Radiation Oncology Source Type: forums
Rad Onc? Burnt Out?
Here’s some advice from a senior medical director from a leading prior auth company.
You know, those guys who make you wait one week to do a P2P because you wanted to do SRS on a solitary brain met and the nurse reviewer said she can authorize it right away if you do it “by 3D.”
Then the P2P guy says, sorry prostate cancer brain mets are excluded from our SRS policy. You can appeal if you’d like.
Those guys have nothing to do with your burn out I’m sure.
Not to be...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 7, 2024 Category: Universities & Medical Training Authors: Gfunk6 Tags: Radiation Oncology Source Type: forums
Re: Prostate cancer screening: better outcomes from early detection, Wilson Jungner criteria and Declaration of Helsinki
(Source: BMJ Comments)
Source: BMJ Comments - August 19, 2023 Category: General Medicine Source Type: forums
Re: Prostate cancer screening - better outcome from early detection
(Source: BMJ Comments)
Source: BMJ Comments - July 16, 2023 Category: General Medicine Source Type: forums
Re: Current policies on early detection of prostate cancer create overdiagnosis and inequity with minimal benefit
(Source: BMJ Comments)
Source: BMJ Comments - June 3, 2023 Category: General Medicine Source Type: forums
Re: Is the UK really ready to roll out prostate cancer screening?
(Source: BMJ Comments)
Source: BMJ Comments - May 20, 2023 Category: General Medicine Source Type: forums
Unusual Location PSMA Node
53 yo very healthy man with unfav int risk prostate cancer Gleason 4+3 in 12 of 16 targeted biopsy cores PSA 16 ng/ml (was 14 back in November) had a PSMA for staging that shows Suvmax uptake of 4.1 in a small perirectal node (see picture). There was an MRI done prior to the PSMA that shows a very small node there (wasnt called on the MRI read bc it was so small). Patient pretty interested in surgery but surgery did refer to us for discussion first and also noted in tumor board that they...
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Source: Student Doctor Network - April 17, 2023 Category: Universities & Medical Training Authors: Haybrant Tags: Radiation Oncology Source Type: forums
Bone met scenario
Here's a scenario I need help with:
70ish yo M with castrate-resistant stage IV prostate cancer. PSMA PET showed a mid femur met along with other small bone lesions, the patient was asymptomatic. I radiated the mid femur met 30 Gy in 10 fractions hoping to prevent a fracture (based on the data presented at ASTRO).
PSA goes down (patient is on xtandi btw). Med onc orders restaging bone scan and he still has uptake in the right mid femur (very bright, same spot I radiated), no other uptake...
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Source: Student Doctor Network - March 30, 2023 Category: Universities & Medical Training Authors: Grubbe-a-dub-dub Tags: Radiation Oncology Source Type: forums
Re: Diagnosing prostate cancer in asymptomatic patients
(Source: BMJ Comments)
Source: BMJ Comments - March 20, 2023 Category: General Medicine Source Type: forums
Insurance Denial of IMRT for Prostate
Anyone here run into this before? I've got a P2P tomorrow with Priority Health. They're denying IMRT for 28-fraction prostate treatment for an intemediate risk prostate cancer. They're telling me they'll only approve brachy or 3D.
This is the first time I've ever had IMRT denied for prostate. It's standard of care and am frankly shocked by the denial. Person I'm talking to tomorrow is not a rad onc. They don't have a rad onc to talk to. Are other folks seeing this kind of shenanigans? (Source: Student Doctor Network)
Source: Student Doctor Network - February 17, 2023 Category: Universities & Medical Training Authors: thompa Tags: Radiation Oncology Source Type: forums
Lymphadenectomy in high-risk prostate cancer
Hey! I am asking for a friend here. He is planning a trial and would like to have some feedback on worldwide practice.
In your experience, do urologists perform lymphadenectomy in high-risk cN0 prostate cancer (provided the high-risk cancer was known before surgery - based on GS, PSA, cT3) when performing radical prostatectomy as primary treatment.
Thank you! (Source: Student Doctor Network)
Source: Student Doctor Network - October 16, 2022 Category: Universities & Medical Training Authors: Palex80 Tags: Radiation Oncology Source Type: forums
Re: Prostate cancer: case finding scheme is unapproved “screening by stealth,” GPs claim
(Source: BMJ Comments)
Source: BMJ Comments - September 20, 2022 Category: General Medicine Source Type: forums
