Low/Intermediate PCa Video Chat, March 9, 2026

Low/Intermediate PCa Video Chat, March 9, 2026

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

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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

Stuart sent a chat · 8:01 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 · 8:02 PM
Dr. Jonathan Epstein – https://advanceduropathology.com/  Tel:516-760-2037    jepstein@imppllc.com

Bob in Georgia sent a chat · 8:34 PM
can you put those doctor name and contacts in the chat?

AnCan – Rick sent a chat · 8:40 PM
Eggener https://www.uclahealth.org/providers/scott-eggener

AnCan – Rick sent a chat · 8:41 PM
Kishan  UCLA  https://www.uclahealth.org/providers/amar-kishan

AnCan – Rick sent a chat · 8:41 PM
Eggener is UCLA

David in Portland, OR sent a chat · 8:43 PM
Paper on delaying treatment (Mack Roach is co-author): “Delayed Definitive Management of Localized Prostate Cancer: What Do We Know?” Prostate Cancer and Prostate Diseases, Aug. 2024, https://www.nature.com/articles/s41391-024-00876-2

Larry S – ADT by estradiol sent a chat · 8:46 PM
Get baselines for lyour 1) Bone density 2) Hormone levels (especially testosterone) 3) your muscle strength and lean to fat ratio.  These can change with ADT and (in my opinion) you want keep track.

AnCan – Rick sent a chat · 8:48 PM
Brisbane – surgeon  UCLA https://www.uclahealth.org/providers/wayne-brisbane

AnCan – Rick sent a chat · 8:49 PM
Peter Carroll – surgeon UCSF  https://urology.ucsf.edu/people/peter-r-carroll

AnCan – Rick sent a chat · 8:50 PM
Matt Cooperberg  surgeon UCSF  https://urology.ucsf.edu/people/cooperberg

AnCan – Rick sent a chat · 8:50 PM
Mack Roach rad onc UCSF  https://www.ucsfhealth.org/mack.roach

Larry S – ADT by estradiol sent a chat · 8:53 PM
Talk to your doctors about the side effects of ADT, especially if you will be using it for very long.

AnCan – Rick sent a chat · 9:11 PM
Bob…  MRLinac at MSKCC Dr. Nagar

Mark WV sent a chat · 9:27 PM
good night

AnCan – Boykin sent a chat · 9:28 PM
good night

Steve in Malaysia sent a chat · 9:32 PM
Was wondering if I can ask a question or 2.

AnCan – Boykin sent a chat · 9:32 PM
Steve I have you on the list…you’re last

Steve in Malaysia sent a chat · 9:32 PM
Thanks 🙂

Steve K sent a chat · 10:01 PM
Good night. Thanks everyone.

AnCan – Boykin sent a chat · 10:01 PM
Good night Steve K

Larry S – ADT by estradiol sent a chat · 10:03 PM
Cannot stay.  Good night.

AnCan – Boykin sent a chat · 10:03 PM
Good night Larry S

AnCan – Rick sent a chat · 10:06 PM
SBRT vs HDR https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2845485?utm_source=email&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=022826