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metastatic prostate cancer

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Q: Does Metastatic Prostate Cancer go into remission?
Even though the VA Doctors say no and no more surgery the idiots sitting in the office says it can go into remission. They over rule everything the Doctor says. Prostate Cancer is a 100% disability but the VA says Metastatic Prostate Cancer is a 60% disability. With this way of thinking do we really need the Government running America’s health care?

A: Here is a website you can refer them to that will agree with your assessment.

Q: Side effects of Channel TURP – Metastatic Prostate Cancer?
My father is 65 and has metastatic prostate cancer. He’s taking calutide and zoladex monthly. Due to obstruction in urination for long time, we got his channel TURP surgery done last month. The urine flow was good for about 20 days. After that he felt slight decrease in urine flow. One morning suddenly there was full urine obstruction and we rushed him to hospital and got catheter inserted.
Doctor said that his prostate tissues have obstructed the urine channel in just one month which is rather unusual.

My question is:
- Can cancer tissues grow so fast in just 1 month after channel TURP? Every doctor mentioned it’s a relief for atleast few years.
- Catheter went inside with lot of difficulty and is not a permanent relief. Should we go for direct insertion of tube in urine bladder?

His gleason grade is 9. PSA is under 4 but showed slight increase from 1.96 to 2.4 approx.

A: Please see the webpages for more details on Transurethral resection of the prostate.
I am 69 years old and taking Alfuzosin hydrochloride (generic name) to shrink prostate gland. In some cases, TURP is not 100% successful and hence a second operation is done to remove the obstructive tissue.

Q: Metastatic Prostate Cancer?
If someone has Metastatic Prostate Cancer, are there specific places it usually spreads to or is it different for everyone?
Does it usually spread to the bones? If it does, what’s next?
( AT AROUND STAGE 3 OR 4 )

A: Prostate cancer nearly always metastasizes to the bones first. If it has than it is a stage 4. His oncologist should be explaining what is next, as he knows his cancer and what treatment he has already had. If the bone mets are causing pain he may be referred to a radiation oncologist.

Q: metastatic prostate cancer?
My Husband has Metastatic Prostate Cancer with mets to the Bone.Its all throughout his spine/pelvis/shoulders?
breast bone.He currently on a clinical trial/chemotherapy and strong pain meds to help with pain…I guess once it spreads to the bones it’s very painful…

what can i do to help him cope with the pain.. he has a very poor appetite.. has lost much weight and has labored breathing..

is there anyone out there who has a loved one go thru the same situation as my husband. what to do what to do.. I am so so sad..

A: I’m so sorry.. Make sure he takes his pain meds on time, if they aren’t helping ease the pain, then call his oncologist and get something stronger, or more pain meds, for him. Have different types of food available for him. His appetite will be poor while on chemo. I know it bothers you to see him not eating, but don’t make a big deal of it. Poor appetites go with the treatment. Stick by his side, encourage him, support him. Hope he begins to feel better, and I hope you will too.

Q: best hospitals in the UK for the treatment of metastatic prostate cancer?

A: Vale of Leaven Hospital in Scotland

Q: can metastatic prostate cancer be cured?

A: no and mangoosteen, what the heck is that?

Q: My father has Metastatic Prostate Cancer with mets to the Bone.Its all throughout his spine/pelvis/shoulders?
breast bone.He currently is receiving Radiation therapy to help with pain…I guess once it spreads to the bones it’s very painful…How long does he have to live???

A: It sounds very serious , I am guessing 6 months or less.I am sorry to hear this , try to spend time with him and try to be strong.
See if you can have a pastor talk to him about the bible , if he is saved he will go to a better place , that is heaven , no more pain.

Q: Prostate Cancer — PSA Relapse — Help Defining?
I want to know the definition of “PSA relapse”. I”m reading through mulitple clinical studies on PSA doubling times (PSA-DT) and their relationship to overall survival, etc.

All reference and use this term, but none define it. Is it simply that point at which PSAs start to rise, after having reaching the nadir?

My husband has advanced, metastatic prostate cancer and is on hormone therapy. His PSAs have started to rise. As close as I can tell (from calculators on the web), his PSADT is ~65 days, and had a “nadir” of 0.2.

All of the articles talk about survivial at the point of “PSA relapse”. What is it and, more importantly, has he reached that?

Please only answer if you know what you’re talking about…

Thanks in advance.

A: A PSA relapse is when a man’s PSA begins to rise after a period of being stable not necessarily nadir. When a man undergoes hormone therapy his PSA is often not a true reading for up to a few months afterward and during this time it may rise to a point where it stables out. You should also know a relapse is not based on a single PSA alone. Hope this helps. Best wishes to you both.

Q: What tests can be used to screen for prostate cancer?
Why might urine flow be impeded for individuals with prostate problems or following prostate surgery? Be sure to define the terms malignant and metastatic.

A: after surg for several days ,there might be swelling due to the trauma of surg. malignant means new growth, but not in a orderly fashion cells continue to multiply invading other tissue crowding out healthy tissue. depriving them of blood and oxygen..
Metastasis means it is at other sites too. or the original is growing larger

Q: Cancer and antiangiogenesis via progesterone:?
It is known that both estrogen and testosterone induce formation of new arteries into cancers, just as estrogen induces formation of arteries into the epithelial tissues of the uterus.
We also know that progesterone causes the closing off of those arteries in epithelial tissue at the time of menstruation, causing the epithelial tissue to die and slough off.

When men with prostate cancer have used progesterone cream, they have reported sharp reduction or even cessation of bone pain from metastatic prostate cancer.
Would this suggest that progesterone may, at least in these cases, be acting as an antiangiogenesis agent, causing the cancer to be starved of blood, so starved of food and oxygen?

If so, would it be at all safe to use this while waiting for treatment? How would one know what would be safe or effective dosage?
My doctor, my oncologist acknowledge having heard of use of progesterone treatments, but because they are not part of standard protocols they refuse to discuss.
Antiangiogenesis drugs have been tested and are part of protocols for other cancers, but they will not discuss other than for those in approved drug testing program.

Doctors appear to be the major block in information flow. I am starting to distrust their objectives.

A: There are clinical trials showing benefit of progesterone analogs (medroxyprogesterone acetate) in metastatic prostate cancer. I don’t know your stage, so not sure what “waiting for treatment” means, but may be reasonable to use these drugs in your case. Don;t be too distrustful of your doc depending on your specific situation, there may be no data showing benefit, in which case most patients do not want to be a “guinea pig.” Talk with your doc and discuss why he does not want to use those drugs- there may be a very good reason.

Q: Brachytherapy for prostate cancer?
My brother, 65 yrs. has been diagnosed with prostate cancer.
His PSA is 8.01. He had his staging and his bone and CT scan were negative and there is no evidence of metastatic disease. He is aware that if he goes through with surgery, he has the risks of incontinence, and erectile dysfunction.
I’d like to know if anyone has been in a similar situation and if so what did you opt for, and any side effects, if any.
Thank you very much.

A: I had prostate cancer in 2005 and had Proton Radiation for it at Loma Linda Universty Medical Center in Loma Lindal California. Proton Radiaiton is very different from conventional radiation in that Proton has little to no side effects and a 90%cure rate. I think it is by far the best type treatment available for prostate cancer today and why not 90% cure rate and no side effects.. There is a website called Proton Bob that tells alot about prostate cancer and proton radiation.. If you go to the website be sure and read the Patient Testimonial section from former proton patients.. we are all sold on it.. There is also a book just out called YOU CAN BEAT PROSTATE CANCER, written by Robert J. Marckini (a prostate cancer survivor). It is great. Any one with prostate problems should read it. It can be purchased at barnes and noble and several other book stores or it can be purchased on line at the Proton Bob website.. I was 63 when diagnosed and my psa was 8 with a gleason of 6 .. My psa is now.13 .. thats point one three.. I was never sick or felt bad one single day during or after my treatments.. It was like a 9 week vacation in southern california…and Im cured… If you have any questions about my experience with prostate cancer or proton radiation, please feel free to email me here on yahoo answers.. again .. I did alot of checking before I had my treatments and became convinced proton radiation was the best treatment and now that I have had the treatment.. I am totally convinced.. If you read the patient testimonials like I said you will see that any one who has had it will tell you the same.. Have a good day.. hope this helps…..Oh I have no incontinence and all my plumbing works just as before.. like I said …no side effects.. one thing.. the reasont there are no side effects is that 90% of the treatment energy is released exactly at the point of the tumor…therefore surrounding tissue and organs are not damaged as in other type treatments…Its the best!!!!!

Q: surgery for prostate cancer?
Brachytherapy or surgery.
My brother, 65 yrs. has been diagnosed with prostate cancer.
His PSA is 8.01. He had his staging and his bone and CT scan were negative and there is no evidence of metastatic disease. He is aware that if he goes through with surgery, he has the risks of incontinence, and erectile dysfunction.
I’d like to know if anyone has been in a similar situation and if so what did you opt for, and any side effects, if any.
Thank you very much.

A: I’m 68. I have only three more of 37 radiation treatments to go. My psa was originally 22 and dropped to 1.5 before radiation commenced. For me, radiation has been every day exept week-ends. I have not had any ill effects at all. Radiation is, I believe, far more preferable than surgery.
I nderstand that the libido goes never to return. I regret that but the alternative ( 6″ under) is not appealing, either.

Most men by the time they turn 70 will have experienced some prostate problem Your brother is just on par. Assure him he has nothing to worry about. The radiation centre at the hospital where he will be treated is the best place in the world. The staff are really understanding and very encouraging. It does get a bit of a drag to present oneself at the hospital every day, but just think of it as his job.
Treatment only is a total matter of some sconds, but it will take about ten minutes per time. It does not hurt. But he must lie still so as he does not move his body and that’s when you become very conscious of hving an itchy nose or wanting to scratch your leg. But you get over that. Now, I’ll have to wait for another five or six weeks until I have another psa test done to see how effective the treatment has been. Touch wood, I shall be just fine. So will your brother. Just tell him not to make his own diagnoses. There are specialists who can do that for him and are much better at it. They will give him the best care in the world. He will be quite oka and he should just be thankful that thanks to modern medical science, he has been diagnsed early enough to get
the simplest possible treatment for cancer. Not only that, Prostate cancer is one of the cancers which responds very well to therapy. He has nothing to wrry about, but f he has not already done so, it s advisable for hm to make sre he sets his will in place.

Best wishes.

Q: My mother I believe has early signs of Dementia…NOT Alzheimers she will be 79 years old this Feb 2007.?
My father has metastatic prostate cancer with mets to the bone and will probably not live very long…at what point if she has dementia should she be put in an assisted living situation??? She still drives and is quite capable of taking care of herself.Could she live still at their 4 bedroom 2500 square foot home in the suburbs??? or should she be placed in an independent living apartment and then if she gets worse move her to assisted living.

A: Registered Nurse here; Seems to me you’ve already answered this question yourself. You share, she still drives and is quite capable of taking care of herself. This is the best any of us can do. When her dementia reaches a point, you will not have to ask, you will know when she is not able to care for herself. I think you should talk to your mother and see what she thinks she would prefer, approach the subject gently with diplomacy, point out the benefits of living in an independent apartment. If she says no, respect her wishes if responsible, then suggest a house keeper that could also help prepare her nutritious meals. I must share 79 is pretty elderly to be driving, this would be one of my main concerns at this point, compounded with the dementia, for she may be driving and become lost and drive who knows where. Your in a ruff situation, if you have siblings, please discuss options with them also, then the entire burden will not fall on your shoulders.

Q: Can somebody help me figure out how to deal with a family problem?
My father has prostate metastatic cancer, which in itself is terribly devastating. However, there is much more. My parents are divorced and he is now married to a woman who is an alcoholic, she is violent, mean, manipulative, controlling, hateful, and abusive, among many other things. She likes to cause trouble for everyone in her life and now she has decided to do that with me. She isn’t allowing me to talk to my father or visit him. I don’t know what to do, who knows how long he has, it could be years or days, I don’t know. I am having a hard time dealing with this and don’t know what to do. My father and I have had a very rocky relationship and it has just been over the last few years that we have come together to be as normal as can be. I don’t think I have any legal rights to him, I would like to have some control, but I don’t think that is possible. This woman is making it very hard for me to deal with this. I just need some advice, I can’t seem to handle this anymore.
Talking to me father about this isn’t easy, he is confused a lot of the time now. He takes so many medications that I can’t remember what they all are, but some are percocet, morphine, strong things like that to help him deal with the pain. She not only is a drunk, but she steals his pills and gets destroyed on them along with the booze. I fear for his safety and others do too, but we don’t know what to do. She is such a horrible person, I would be afraid that she would take it out on him if I tried to insist on seeing him. She has been this way her entire life from what I’m told, she isn’t going to change now.
I want to add something else. I know that my father gave me life and that he owes me nothing. I just want his love and nothing else before he dies. He was always too busy to spend time with me as a child and now that we have built that relationship up I want to hold onto it for as long as I can.

A: Go to court although you may not have any legal rights regarding his finance, property etc. But as a son you do have rights to spend some time with your father.

Q: How could a patient who’s had a full/radical Prostatectomy years ago, show a high PSA level again?
Okay, we know that PSA (Prostate Specific Antigen) is produced by prostate gland cells (the epithelium) hence it is reasonable to think that the cells will continue to manufacture PSA even if they are in locations outside the prostate? Having said that, does an elevated level of PSA in a prostate cancer patient in remission and with full/radical Prostatectomy indicates the presence of a metastatic tumor somewhere? If NOT how and why could the PSA levels be so elevated in the above described patient? Your informed comments will be greatly appreciated – Thank You.
***guitargadfly – Thanks for your concern and your kind answer. I am not the one afflicted with this horrible disease, but an older and very dear friend of mine. He has already suffered tremendously because of it. And now him and his wife are all worried to pieces with his latest elevated PSA results.

A: Because PSA is specific for prostate, I’d be very concerned about recurrence or metastasis.

There could have been invasion of the tumour that was missed, or early, previously undetected metastasis at the time of surgery.

My best to your friend… good luck with a bad disease.

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