• Men (Only) Speaking Freely on the 1st & 3rd Thursdays at 8.00 pm Eastern https://ancan.org/men-speaking-freely/
• Veterans Healthcare Navigation on the 1st & 3rd Tuesdays at 8.00 pm Eastern https://ancan.org/veterans/
• Veterans Speaking Freely on the 4th Tuesday at 8:00 pm Eastern https://ancan.org/speaking-freely/

• You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/   
• Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Editor’s Pick: New prostate cancer (PCa) diagnosis with potential Lynch Syndrome in the family. (bj)

Topics Discussed
New diagnosis with potential Lynch Syndrome in the family; exploring genetic testing as well as somatic vs germline testing; be careful about interpreting test results as a guarantee; two types of prostate cancer bioposies—transperineal carries less infection risk; primer on different radiation treatments for prostate cancer; focal treatment carries high recurrence risk with Gleason Score 4+3 or higher; cyber knife, nano knife, heat therapy are forms of focal treatment; things to expect three weeks after a radical prostatectomy; dealing with anxiety following a radical prostatectomy or PSA changes following treatment; Artera AI as a predictor of biochemical recurrence.

Chat

Stuart sent a chat · 7:50 PM
Dr. Ming Zhou Mount Sinai Health System Department of Pathology, Box 1194 Annenberg Bldg. 15th FL 1468 Madison Ave New York, NY 10029 Email: Ming.zhou@mountsinai.org Telephone: (212)241-8881

Stuart sent a chat · 7:51 PM
Dr. Jonathan Epstein – https://advanceduropathology.com/  Tel:516-760-2037    jepstein@imppllc.com

AnCan – Boykin sent a chat · 8:12 PM
Last Low/Intermediate Video Chat on YouTube (same as above)  https://www.youtube.com/watch?v=-jMy0byKzdE

AnCan – rick sent a chat · 8:24 PM
Also Jesse McKenney at Cleveland Clinic   mckennj@ccf.org   Expert on cribriform

 AnCan Bill sent a chat · 8:53 PM
stuart@ancan.org & bfranklin@ancan.org

medium.com/@mperloe sent a chat · 8:54 PM
Is brachy indicated after sepsis from the biopsy? I’d sure be leery of that.

Steve in Malaysia sent a chat · 9:05 PM
The canadian health system is per province vs national.

Steve in Malaysia sent a chat · 9:05 PM
Sunnybrook in Toronto is the most advanced center and has all modalities including MR Linac

Steve in Malaysia sent a chat · 9:07 PM
i believe there is also MR Linac in Calgary.

AnCan – rick sent a chat · 9:08 PM
We’re aware, Steve. BC is not too bad. Also v. familiar with Sunnybrook/Klotz

Steve in Malaysia sent a chat · 9:08 PM
👍

Bob in Georgia sent a chat · 9:17 PM
I leave next tuesday, preop on Wed, spacor on Thurs

AnCan – Boykin sent a chat · 9:21 PM
boykin@ancan.org

 AnCan Bill sent a chat · 9:22 PM
Ask for a referral to Pelvic Floor Physical Therapy.

Bob in Georgia sent a chat · 9:27 PM
Going to Sloan Kettering with Dr Nagar

Mark WV sent a chat · 9:28 PM
nite

AnCan – Boykin sent a chat · 9:29 PM
Good nite Mark!

 AnCan Bill sent a chat · 9:33 PM
May 21st at 8 p.m. Eastern is the next MSF.

AnCan – rick sent a chat · 9:33 PM
Next MSF meeting … in this room same time on Thu May 21

Larry S – ADT by estradiol sent a chat · 9:49 PM
Re: When to stop PSA testing.  I have not read this yet (it just came into my inbox this morning), but the synopsis looks hopeful for more men getting screened later in life and having those tests INTERPRETED MORE INTELLIGENTLY so as to avoid alarm and unnecessary procedures.  https://www.news-medical.net/news/20260428/NCCN-publishes-new-patient-guide-for-prostate-cancer-screening.aspx?utm_source=news_medical_newsletter&utm_medium=email&utm_campaign=prostate_cancer_newsletter_10_may_2026

AnCan – rick sent a chat · 9:49 PM
from Joel…”Got it. Thank you Rick”

Bob in Georgia sent a chat · 9:53 PM
Nite

AnCan – Boykin sent a chat · 9:53 PM
Good night Bob!

AnCan – Boykin sent a chat · 9:59 PM
Artera AI https://artera.ai/

Fritz sent a chat · 10:05 PM
Thanks so much -I’ll report back next meeting. Safe journey everyone

Jim E., Ft. Worth TX sent a chat · 10:11 PM
Have to go for now. Thanks so much!

• Men (Only) Speaking Freely on the 1st & 3rd Thursdays at 8.00 pm Eastern https://ancan.org/men-speaking-freely/
• Veterans Healthcare Navigation on the 1st & 3rd Tuesdays at 8.00 pm Eastern https://ancan.org/veterans/
• Veterans Speaking Freely on the 4th Tuesday at 8:00 pm Eastern https://ancan.org/speaking-freely/

• You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/   
• Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Editor’s Pick: Treatment at Center of Excellence (COE) preferred over Community Care. (bj)

Topics Discussed
Using the Memorial Sloan Kettering Cancer Center (MSKCC) Nomogram to predict the success rate of surgery versus recurrence risk; clinical significance of cribriform patterns in pathology reports; Androgen Deprivation Theory (ADT) & Cardiac Health means understanding the diffference between short- and long-term risks as well as the importance of cardio-oncology monitoring; getting second opinions from on pathology reports are important to confirm Gleason score and identify other potential concerns; treatment at a Center of Execellence (COE) preferred over Community Care because COE offer integrated, multi-disciplianary and access to advanced technologies.

Chat

• Men (Only) Speaking Freely on the 1st & 3rd Thursdays at 8.00 pm Eastern https://ancan.org/men-speaking-freely/
• Veterans Healthcare Navigation on the 1st & 3rd Tuesdays at 8.00 pm Eastern https://ancan.org/veterans/
• Veterans Speaking Freely on the 4th Tuesday at 8:00 pm Eastern https://ancan.org/speaking-freely/

• You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/   
• Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Editor’s Pick: Questions about the efficacy of clinical trials for focal therapy treatment of prostate cancer. (bj)

Topics Discussed
New diagnosis and seeking second opinions on treatment options; potential candidate for active surveillance; importance of getting second opinion on biopsy results; Stereotactic Body Radiation Therapy (SBRT) scheduled—5 sessions over a 10-day period; concerns about traveling to a center of excellence for treatment and then receiving follow-up care locally; questions about the efficacy of clinical trails in general and specifically focal therapy for prostate cancer; difficulties in getting insurance companies to approve medical treatments; differences between germline and somatic (Decipher) genetic testing; avoid the “Google Trap”—don’t make your treatment decisions based on internet searches.

Chat

• Men (Only) Speaking Freely on the 1st & 3rd Thursdays at 8.00 pm Eastern https://ancan.org/men-speaking-freely/
• Veterans Healthcare Navigation on the 1st & 3rd Tuesdays at 8.00 pm Eastern https://ancan.org/veterans/
• Veterans Speaking Freely on the 4th Tuesday at 8:00 pm Eastern https://ancan.org/speaking-freely/

• You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/   
• Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Editor’s Pick: High Dose Rate (HDR) brachytherapy versus stereotactic body radiotherapy (SBRT). (bj)

Topics Discussed
Importance of getting a second opinion on bioposy results; clincal study comparison of High Dose Rate (HDR) brachytherapy versus stereotactic body radiotherapy (SBRT); necessity of getting a second opinion on bioposy results for a Gleason 3+3 diagnosis; efficacy of specific supplements and dietary changes in reducing future prostate cancer risk and managing PSA levels.

Chat

• Men (Only) Speaking Freely on the 1st & 3rd Thursdays at 8.00 pm Eastern https://ancan.org/men-speaking-freely/
• Veterans Healthcare Navigation on the 1st & 3rd Tuesdays at 8.00 pm Eastern https://ancan.org/veterans/
• Veterans Speaking Freely on the 4th Tuesday at 8:00 pm Eastern https://ancan.org/speaking-freely/

• You can find out more about our 12 monthly prostate cancer meetings at https://ancan.org/prostate-cancer/   
• Sign up to receive a weekly Reminder/Newsletter for this Group or others at https://ancan.org/contact-us/

Editor’s Pick: The value of connecting with other AnCan peers to compare doctor recommendations and treatment experiences. (bj)

Topics Discussed
Management of Benign Prostatic Hyperplasia (BPH) and prostate size; comparison of radiation modalities such as stereotactic body radiation therapy (SBRT), intensity-modulated radiation therapy (IMRT), magnetic resonance-guided linear accelerator (MRI-Linac) and brachytherapy; comparison of androgen deprivation therapy (ADT) medications: Orgovyx vs Lupron; importance of genomic tests like Decipher, Prolaris, Artera AI, and the PROMISE study (germline testing); discussion on surgical options and surgeon recommendations;  advantages of transperineal over transrectal biopsies; benefits of MRI-fusion biopsies for targeted sampling; veterans get medical treatments through Veterans Affairs (VA) can use Community Care to get access to specialized medical care outside the VA; lymph node involvement seen in a PSMA scan changes disease categorization and requires more advanced drugs; importance of consulting a cardio-oncologist when adding ADT treatments for prostate cancer while recovering from heart surgery; discussion between how long a low/intermediate prostate cancer patient can wait between a diagnosis requiring an active treatment (such as prostatectomy, radiation, hormone therapy) and starting active treatment;  the value of connecting with other AnCan peers at similar stages of their journey to compare doctor recommendations and treatment experiences.

Chat