Low/Intermediate PCa Video Chat, February 23, 2026

by | Mar 5, 2026 | Cancer Caregivers, Cancer Resources, Low/Intermediate Prostate Cancer, Recorded Groups

Low/Intermediate PCa

Low/Intermediate PCa Video Chat, February 23, 2026

Low/Intermediate PCa Video Chat, February 23, 2026

AnCan is grateful to the following sponsors for making this recording possible: Novartis, Telix, Blue Earth Diagnostics, and Foundation Medicine.

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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Editor’s Pick: Addressing the unusual: Low PSA with high-grade prostate cancer. (bj)

Topics Discussed
Importance of getting a second reading/opinion on your prostate cancer biopsy results; addressing the unusual: low PSA with high-grade prostate cancer; identifying risk factors that can push you from intermediate-risk to high risk prostate cancer; understanding how gentic testing help determine the best treatment options, espcially when family history exists; evaluating high-dose rate (HDR) brachytherapy as a primary treatment or boost to radiation; comparing transperineal and transrectal biopsies with a focus on lower risk infection and better patient experiences; determining when a patient should move from active surveillence (AS) based on rising PSA or new biospy results.

Chat

AnCan – Stuart sent a chat · 7:58 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

AnCan – Stuart sent a chat · 7:59 PM
Dr. Jonathan Epstein – https://advanceduropathology.com/  Tel:516-760-2037    jepstein@imppllc.com

AnCan – Rick sent a chat · 8:04 PM
AnCan’s GU ASCO Poster released today   https://ancan.org/ancan-gu-asco26-survivorship-poster/

Norman Davis sent a chat · 8:13 PM
No. I’ve joined before but I havent joined in a while. I’m just listening tonight

Norman Davis sent a chat · 8:19 PM
Question is this  a call I should be on. I did have treatment 3 yrs ago

Norman Davis sent a chat · 8:20 PM
ok thanks

AnCan – Boykin sent a chat · 8:23 PM
@Norman Davis – I would stay and listen in. It doesn’t hurt and you are already here.

Norman Davis sent a chat · 8:23 PM
Gotcha. I  dont have a reoccurrence

Bill Franklin sent a chat · 8:31 PM
bfranklin@ancan.org

AnCan – Rick sent a chat · 8:49 PM
2nd Opinions for MRIs  Botimage AI for MRIs: https://botimageai.com/prostatid/ ~$250, can also be used for biopsy targeting guidance  NIH 2nd Opinion MRI (no fees): Choyke, Peter (NIH/NCI) Radiologist pchoyke@mail.nih.gov  Second opinion of MRI from Johns Hopkins Images and Reports for Providers | Johns Hopkins Radiology (hopkinsmedicine.org) Email: eradiologycenter@jhmi.edu Phone: 443-287-7378 Fax: 443-769-1210  -Accolade Radiology NY, PA https://accoladeradiology.com/mritap.html  Radiology Check (Switzerland) https://radiologycheck.com/en

AnCan – Rick sent a chat · 8:51 PM
Bx 2nd Opinions       Ep-stine! Dr. Jonathan Epstein – https://advanceduropathology.com/ Tel: 516-760-2037 jepstein@imppllc.com

AnCan – Rick sent a chat · 8:52 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

Steve in Malaysia sent a chat · 8:58 PM
I need to head out at 10ish (5 minutes). I’ll followup with Rick and Stuart re: how to think about negotiating costs … I was quoted $100k for HDR and $180k for MR Linac.

Steve in Malaysia sent a chat · 9:01 PM
Also wanted to thank you guys (Rick, Stuart and company) on all your help on this crazy journey… could never had ended up where I did without your help 🙂

AnCan – Rick sent a chat · 9:04 PM
You need to make sure it registers with the Lead Mod.

Clyde sent a chat · 9:07 PM
Hey gang.  Gotta run.  I am graduating to the high risk group, so I will see some of you there.

AnCan – Boykin sent a chat · 9:08 PM
@clyde – Good luck. We will miss you in low/intermediate.

Bob Richards sent a chat · 9:09 PM
I would like to update the group tonight on my situation if possible

Norman Davis sent a chat · 9:21 PM
Good questions. I’ll rejoin next week. Thanks

AnCan – Boykin sent a chat · 9:23 PM
Good night Norman!

AnCan – Boykin sent a chat · 9:26 PM
Nice dog George!

David in Portland, OR sent a chat · 9:40 PM
Prostate Cancer Free Foundation Intermediate Risk graph: https://www.prostatecancerfree.org/compare-prostate-cancer-treatments-intermediate-risk/  High Risk graph: https://www.prostatecancerfree.org/compare-prostate-cancer-treatments-high-risk/

David in Portland, OR sent a chat · 9:41 PM
Prostate Cancer Free Foundation Low Risk graph: https://www.prostatecancerfree.org/compare-prostate-cancer-treatments-low-risk/

George in NC sent a chat · 10:04 PM
Thank you all and good night!  See you in 2 weeks!   Very grateful to AnCan especailly Rick and Stuart!

Larry (Alaska Vet) sent a chat · 10:05 PM
David, can you put a link to that 2024 study also, please?

Bill Franklin sent a chat · 10:05 PM
Good night George.

AnCan – Boykin sent a chat · 10:05 PM
Good night George

Steve in Malaysia sent a chat · 10:06 PM
back

David in Portland, OR sent a chat · 10:18 PM
Albert Chang & Peter Rossi brachytherapy video lecture: https://www.youtube.com/watch?v=QkfB5kkOsm4

[Waiting for name] sent a chat · 10:21 PM
Hi Leon here, trying to get back wit ya. Hit the wrong button

David in Portland, OR sent a chat · 10:22 PM
A Randomized Trial Comparing Quality of Life after Low-Dose Rate or High-Dose Rate Prostate Brachytherapy Boost with Pelvic External Beam Radiation (Crook, Juanita), 2024: https://www.redjournal.org/article/S0360-3016(24)00381-X/fulltext

David in Portland, OR sent a chat · 10:23 PM
A Randomized Comparison of High-Dose-Rate and Low-Dose Rate Prostate Brachytherapy Combined with External Beam Radiation Therapy for Unfavorable Prostate Cancer: Efficacy Results After Median Follow-Up of 74 Months (Crook, Juanita), 2025: https://www.redjournal.org/article/S0360-3016(25)00303-7/abstract

David in Portland, OR sent a chat · 10:24 PM
HDR Brachytherapy Combined with External Beam Radiotherapy for Unfavorable Localized Prostate Cancer: A Single Center Experience from Inception to Standard of Care (Crook, Juanita), 2025: https://www.brachyjournal.com/article/S1538-4721(25)00004-2/fulltext