Intermediate Risk Prostate Cancer Graphic

Hi-Risk/Recurrent/Advanced PrCa Video Chat, Nov 17, 2025

AnCan thanks the following sponsors for making this recording possible: Bayer, Novartis, Johnson and Johnson, Myriad Genetics, Telix, Blue Earth Diagnostics and Foundation Medicine. Views expressed in this Recording are solely the opinion of AnCan Foundation, our Moderators and Participants. AnCan does not accept sponsored promotion. Any drugs, protocols or devices discussed are based solely on anecdotal peer experience or clinical evidence. AnCan cannot and does not provide medical advice. We encourage you to discuss anything you hear in our sessions with your own medical team. AnCan reminds all Participants that Adverse Events experienced from prescribed drugs or protocols should be reported to the pharmaceutical manufacturer or the FDA Adverse Event Reporting System (FAERS). To do so call 1-800-332-1066 or download interactive FDA Form 3500 https://www.fda.gov/media/76299/download All AnCan’s groups are free and drop-in … join us in person sometime! You can find out more about our 12 monthly prostate cancer meetings at https://ancan.cyberoptik.co/prostate-cancer/ Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.cyberoptik.co/contact-us/ Join our other free and drop in groups: Men (Only) Speaking Freely…1st & 3rd Thursdays @ 8.00 pm Eastern https://ancan.cyberoptik.co/men-speaking-freely/ Veterans Healthcare Navigation… 1st & 3rd Tuesdays @ 8.00 pm Eastern Schmier Room https://ancan.cyberoptik.co/veterans/ Veterans Speaking freely… 4th Tuesday @ @ 8.00 pm Eastern Schmier Room Editor’s Pick: Assessing recurrence and IDC-P repeat this week.
Topics Discussed
Signs of recurrence after 8 years; lymphedema and RT; does Newbie understand his proposed RT – is it optimal?; signs of BRCA2 recurrence post RP; doublet or triplet for denovo Mx Gent with IDC-P; explaining types of HT treatment; likely PSMA negative Gent challenged to confirm recurrence; PSA spike & fall for IHT man; fatigue after ARSI is added; estradiol supplement experience; pushing exercise helps mitigate HT; IDC-P teatment challenge – RP vs RT; bisphosphonate vs denosumab as bone strengthener
Chat
  • Larry (Alaska)
    sent: 6:17 PM
    Was there a decipher test? indicating aggressiveness?
  • Larry (Alaska)
    sent: 6:24 PM
    I wonder how old those NIH studies Barbara and Joe are reading?
  • Eric James; Tyler TX
    sent: 6:29 PM
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9688147/
  • Eric James; Tyler TX
    sent: 6:31 PM
    The higher rates of lymphedema are after pelvic irradiation following lymph node dissection
  • AnCan–John A
    sent: 6:31 PM
    Thx Eric
  • Bob Y. Los Angeles
    sent: 6:34 PM
    Question: for a Decipher Prostate Test… how do I get that genomic test? Does my doctor order it or what?
  • AnCan – rick
    sent: 6:35 PM
    Sandy Liu https://www.cityofhope.org/sandy-liu
  • Eric James; Tyler TX
    sent: 6:35 PM
    Bob Y. Yes, generally done from your biopsy tissue
  • Jim Marshall, Veteran, Alexandria, VA
    sent: 6:35 PM
    There is Germline test and Somatic Test nothing to do with Decipher. Jim
  • Bob Y. Los Angeles
    sent: 6:38 PM
    Thanks. I’ll ask my urologist to run the Decipher test from my biopsy tissue.
  • Jeff Marchi – San Francisco
    sent: 6:43 PM
    get genetic test free here
  • Jeff Marchi – San Francisco
    sent: 6:43 PM
    https://www.prostatecancerpromise.org/?utm_campaign=ANCAN&utm_medium=link&utm_source=Webinar
  • Luther Blake
    sent: 6:46 PM
    have to run gents, have a good evening
  • AnCan – rick
    sent: 5:57 PM
    GoTo technical support 877 582 7011
  • AnCan–John A
    sent: 6:48 PM
    ming.zhou@mtsinai.org, or https://profiles.mountsinai.org/ming-zhou OR
  • AnCan–John A
    sent: 6:49 PM
    advanceduropathoogy.com 516 280 7930
  • Jeff Marchi – San Francisco
    sent: 6:53 PM
    while that email may work I got a different address
  • Jeff Marchi – San Francisco
    sent: 6:53 PM
    Send an email to Ming.zhou@mountsinai.org to inquire about a second opinion and ask for his specific instructions for the process.
  • Jim Stewart Reno, NV
    sent: 7:07 PM
    have to sign off, thanks all and have a good night
  • Jon McPhee Toronto
    sent: 7:33 PM
    Have to go. Thanks for the meeting.
  • Larry (Alaska)
    sent: 7:37 PM
    AI just told me that 1- micro-ultrasound does not require a contrast dye and uses equipment that is more accessible than MRI. 2- Other than that, they seem to be seen as complementary rather than competing. MRI is better at detecting some lesions and micro-ultrasound better at others.
  • Stan Friedman
    sent: 7:48 PM
    Sorry. Need to sign off. Will update on my pluvicto treatments next week. Thanks.
  • Jim Marshall, Veteran, Alexandria, VA
    sent: 7:53 PM
    Chocolate is a veggie!!!!!! Jim
  • TonyFig
    sent: 7:53 PM
    Rick will get a 3 knot boost when rowing with caffeine
  • St
    sent: 7:56 PM
    my experience has been that the fatigue comes mainly from lack of estrogen, not from the lack of T. An E2 patch helped me enormously
  • Bob Y. Los Angeles
    sent: 7:57 PM
    I had a couple of short questions, but I have to leave now. I’ve had an MRI and a biopsy, Gleason 4+5. I’m waiting to get a PET Scan on Dec 5th. I was hoping to get the PET earlier and so I made an appt with a urologic oncologist, Timothy Daskivich for a 2nd opinion on Nov 26th. Now I’ll be going to see him without being able to show him the PET results. I’m wondering if that appt is still valuable.
  • Barbara and Joe
    sent: 7:59 PM
    why do you have to take something as toxic as prednisone with abiraterone?
  • Don Rogers
    sent: 8:00 PM
    got to go
  • Eric James; Tyler TX
    sent: 8:00 PM
    Barbara and Joe: side effects of abiraterone. Your body stops producing cortisol on abiraterone so it needs to be replaced with something similar.
  • AnCan–John A
    sent: 8:00 PM
    Barbara and Joe the body absolutely needs the corticosteroid.
  • Jim Marshall, Veteran, Alexandria, VA
    sent: 8:01 PM
    Abi stops the Adrenal Glands which makes Cortisol. Presidnsone makes the Cortisol.
  • Jim Marshall, Veteran, Alexandria, VA
    sent: 8:02 PM
    One needs Cortisol. Jim Marshall
  • AnCan – rick
    sent: 8:10 PM
    Estradiol seminar w. Steve S https://ancan.cyberoptik.co/talking-estradiol-e2-for-recurrent-and-advanced-prostate-cancer/
  • Keith H. (southern Oregon)
    sent: 8:15 PM
    thanks for all this, I got to go, but grateful for expertise and this group.
  • Thomas Matica
    sent: 8:21 PM
    Short update. Can wait till next meeting. Got to run. Thanks everyone.
  • Barbara and Joe
    sent: 8:23 PM
    I hope it’s a low dose of predisone — it just about killed my mother with her rheumatoid arthritis.
  • Jim Marshall, Veteran, Alexandria, VA
    sent: 8:23 PM
    5mg of Prednisone is used. Jim M
  • Jim Marshall, Veteran, Alexandria, VA
    sent: 8:24 PM
    Although once you stop it one still should taper off versus Cold Turkey. Jim
  • Steve White
    sent: 8:28 PM
    Have to drop…thanks again
  • Alfredo in Houston, TX
    sent: 8:35 PM
    I must drop off now, thank you everyone; stay well.
  • Mark N
    sent: 8:42 PM
    Thanks!!
  • Barbara and Joe
    sent: 8:43 PM
    thanks so much everybody.