Hi-Risk/Recurrent/Advanced PrCa Video Chat, Aug 3, 2026
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Editor’s Pick: Let’s determine if Gent really has metastatic disease before progressing with treatment.
Topics Discussed
Newbie sees disease progression and starting Pluvicto; bad pulmonary reaction to Erleada for this Newbie who’s switching to City of Hope; possible recurrence for Newbie – needs a GU MO; DeBono’s remarkable VIR5500 may be in play for Frank; determine if Gent is truly metastatic before proceeding with more treatment; starting salvage RT; nipple pain soon after starting holiday; is Dr. John’s pelvic pain PrCa, AUS or something else?; defer to your GU MO not local general MO; fatigue… when is T. replacement safe post HT; signed up for Reel recovery
Chat
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AnCan – ricksent: 4:49 PM
2nd opinions on pathology and scans https://ancan.org/prostate-cancer-and-gu-pathology-2nd-opinions/
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Jim Marshall, Vet Sup Grp. Moderator sent: 5:26 PM
NCCN – National Comprehensive Cancer Network.
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Gary Martin sent: 5:33 PM
It appears FDA approved Pluvicto for hormone-sensitive PC. I had not heard this before: https://www.novartis.com/news/media-releases/fda-approves-pluvicto-psma-metastatic-hormone-sensitive-prostate-cancer-mhspc-advancing-potential-new-standard-care-across-metastatic-disease?utm_source=copilot.com
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AnCan – rick sent: 5:33 PM
Happened on Friday – we put it out on our social media. Will write it up.
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Len Sierra sent: 5:34 PM
Thanks, Gary!
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Julian – Houston sent: 5:55 PM
darolutamide
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Jim Marshall, Vet Sup Grp. Moderator sent: 6:32 PM
By law if some provider accepts Medicare they must accept Tricare. Jim Marshall, USAF(Ret)
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AnCan – rick sent: 6:38 PM
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Jeff Marchi – San Francisco sent: 6:38 PM
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Avery sent: 7:02 PM
PSMA PET Multifocal avidity within the prostate with highest in left PZ (SUVm 3.4). There is focal uptake with low SUVm (3.1) in the right scapula and right manubriu, (SUVm 2.9) and T5 vertebral body (SUVm 2.9)
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Larry in AK sent: 7:03 PM
I hope it will be a continuing feature.
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Len Sierra sent: 7:04 PM
Avery, those are all very low SUV max values. Do you know what the liver uptake was?
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AnCan – rick sent: 7:04 PM
they’re all fairly low SUVs, Avery
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AnCan – rick sent: 7:05 PM
we understand why they are dubious about your Mx
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Avery sent: 7:07 PM
Where will i find the liver uptake in the PSMA PET?
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Peter M sent: 7:10 PM
Good night gents! Great meeting.
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Avery sent: 7:12 PM
Liver: Stable appearance of multiple simple fluid attenuating hepatic cysts, the largest of which in right lobe measuring approximately 3.1 x 3.5 cm
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“Thomas” Matica sent: 7:12 PM
Good night. Great discussion.
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Lee Baylin, Baltimore sent: 7:13 PM
good night
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AnCan – rick sent: 7:19 PM
From Larry in AK Sorry for coming in late. Has anyone mentioned the estradiolinitiative newsletter has published its firs volume. Read it on the estradiolinititive.org website by clicking on the menu at the top on “Resources” and find “Newsletter” near the bottom of the menu. https://estradiolinitiative.org
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Bob Schwartz, USN, Venice, FL. sent: 7:22 PM
The E Newsletter was FANTASTIC! I highly encourages everyone to read it.
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Barry Blomquist sent: 7:24 PM
Have to jump, next week:)
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Alfredo in Sacramento sent: 7:25 PM
I have to take a call; good night to everyone 🙏
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Bob Schwartz, USN, Venice, FL. sent: 7:26 PM
Good mtg., have to go.
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Larry in AK sent: 7:27 PM
Last page of the newsletter has my editorial. A lot less dry than the body of the newsletter.
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AnCan – rick sent: 7:31 PM