Low/Intermediate PCa Video Chat, April 7, 2025

AnCan is grateful to the following sponsors for making this recording possible: Bayer, Foundation Medicine, Janssen, Myriad Genetics, Novartis, Telix & Blue Earth Diagnostics.

WELCOME all to our newly recorded Low/Intermediate Prostate Cancer Group. To receive notice when new recordings are posted, either follow us on this YouTube Channel or sign up to our Blog via https://ancan.org/contact-us/ – check New Blog box.

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AnCan respectfully notes that it does not accept sponsored promotion. Any drugs, protocols or devices recommended in our discussions 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.

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Editor’s Pick: The most important thing is having a medical team that you trust. (bj)

Topics Discussed
Transitioning from active surveillance and having issues with flomax; post-prostatectomy at 6-weeks and learning to deal with incontinence, work on pelvic floor physical therapy — kegel exercises; germline genetic screening — Prostate Cancer PROMISE Test; new diagnosis and getting a second opinion based on biopsy results, currently learning more to choose a treatment path — active surveillance is is a possibility, be wary of taking focal treatment outside of a trial, TULSA Pro, SBRT, HIFU, PROTON, Cyber Knife; DECIPHER gtest and GRID report; SBRT treatment update — got a DECIPHER test and GRID report; update using ArteraAI to confirm DECIPHER results in deciding a treatment option; important to have the information to chose a treatment plan; learning the in and outs of Veterans benefits; dealing with a “blind” biopsy and seeking a second opinion on biopsy result — consider starting over with a MRI to get a diagnosis; PROTON (IMRT) (gets a lot of hype) but it is older technology than PHOTON (SBRT); PROSTOX test provides information on radiation toxicity; Focus on getting the right doctor to help you make a decision versus laboring over the differences between radiation treatment options.

Chat Log

AnCan – rick
Promise https://www.prostatecancerpromise.org/?utm_campaign=ANCAN&utm_medium=link&utm_source=Webinar

AnCan – rick
rd@ancan.org

AnCan – rick
Send Bx for 2nd opinion to either Dr. Epstein https://advanceduropathology.com/ or Dr. Zhou https://profiles.mountsinai.org/ming-zhou

Eric- Atlanta
15 year outcome study: https://www.nejm.org/doi/full/10.1056/NEJMoa2214122

AnCan – rick
Check results of the PACE-B Study

AnCan – rick
Pace-B abstract https://www.redjournal.org/article/S0360-3016(23)07822-7/abstract

AnCan – rick
Five-year BCF free rates are high in PACE-B participants. After median follow-up of six years, five-fraction-SBRT is non-inferior to CRT for BCF. SBRT reduces pts attendances, shortens treatment time and 5 fraction SBRT should be a new standard of care for pts with low/favourable intermediate risk LPCa.

Bill Allen
Tim- are you willing to share the contact at Vericyte?

Eric- Atlanta
A Veracyte Sr. Genomic Specialist contact:

Eric- Atlanta
toby.harrell@veracyte.com

Bill Allen
Thank you Eric.

Eric- Atlanta
Welcome. He’s very helpful.

AnCan – rick
AnCan Vets programs https://ancan.org/veterans/

James & Emily Anders
we are back on. We were bumped off

Bill Allen
Hi All- thanks for tonight. I have to go- have a good two weeks.

Eric- Atlanta
Andrew & Mark!! https://www.youtube.com/watch?v=nEuj4IjAQ3I

Low/Intermediate PCa Video Chat, April 7, 2025