New Prostate Cancer Guidelines and ASPI Pathway

New Prostate Cancer Guidelines and ASPI Pathway

A relatively new year, new guidelines, and new tools for prostate cancer screening and monitoring.

In recent months, the AUA updated its 2023 guidelines specifically for early detection of prostate cancer (https://www.auanet.org/guidelines-and-quality/guidelines/early-detection-of-prostate-cancer-guideline). Along with those guidelines, two other organizations have updated or developed additional tools that are beneficial to all men, regardless of where they are on the prostate cancer journey (or even those not yet on a journey).

The National Comprehensive Cancer Center Network (NCCN) posted its 2026 “Guidelines for Patients” pamphlet for early-stage prostate cancer (https://www.nccn.org/patients/guidelines/content/PDF/prostate-early-patient.pdf).  Additionally, our friends at ASPI (https://aspatients.org/) have produced a pamphlet primarily focused on active surveillance: The Pathway: Your Guide to Active Surveillance, also reviewed by Howard Wolinsky ( https://howardwolinsky.substack.com/p/review-of-aspis-the-pathway-navigating )

Consider them collectively as an introduction to screening (NCCN), an AS-focused source (ASPI), and a comprehensive guide for early-stage prostate cancer.

I would not consider any of them as a standalone product for all the information a man might need. The NCCN guidelines are focused on screening and are relatively basic. ASPI’s product is focused on AS, but some may find the scope and scale of information a bit overwhelming without someone to advise and assist them. The appendix at the end of the pamphlet would be exceedingly useful for anyone beginning their prostate cancer journey. Finally, the AUA guidelines are broader and developed more for urologists.

Dan Gifford (dan@ancan.org)

Under-60 Advanced Prostate Cancer

Under-60 Advanced Prostate Cancer

Back in mid-2012, the US Preventative Services Task Force first made the following recommendation with an associated D Grade:
The U.S. Preventive Services Task Force (USPSTF) recommends against prostate-specific antigen (PSA)–based screening for prostate cancer.

 At the time, prostate cancer advocates objected strongly, warning it would result in many more men diagnosed de novo metastatic, and ultimately more disease specific deaths.

Sadly, we have seen this manifested, especially with respect to younger men. AnCan clearly sees the trend along with a lack of support for the particular needs expressed by younger men living with advanced prostate cancer.
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2nd Thursday of each month at 8 pm Eastern in The Barniskis Room (222-583-973)

Prostate Cancer and GU Pathology 2nd Opinions

Prostate Cancer and GU Pathology 2nd Opinions

Prostate Cancer and GU Pathology 2nd Opinions

AnCan frequently recommends second opinions on prostate cancer and genitourinary (GU) pathology slides – whether it be from biopsy, surgery or another protocol. Our recommended providers are:

Jonathan Epstein, MD, Advanced Uro Pathology   T: 516-760-2037     jepstein@imppllc.com    https://advanceduropathology.com   

Ming Zhou, MD, PHD, Mount Sinai (NYC) Health,   T: 516-760-2037  Ming.zhou@mountsinai.org

Jesse McKenney  MD,  Cleveland Clinic   https://clevelandcliniclabs.com/healthcare-provider-resources/pathology/

Johns Hopkins Pathology  https://pathology.jhu.edu/patient-care/second-opinions

Video Resources

(Thanks to Eric Milsen in compiling this post)

Predicting Radiation Side Effects – PROSTOX Webinar with interesting updates!

Predicting Radiation Side Effects – PROSTOX Webinar with interesting updates!

Predicting Radiation Side Effects – PROSTOX Webinar with interesting updates!

 

 

Last year, we presented a webinar on predicting Prostate Cancer Radiation Treatment side effects with PROSTOX before treatment begins. By analyzing your unique genetics, you can make smarter, more informed decisions to avoid side effects and safeguard your quality of life for years to come.

PROSTOX Standard (previously PROSTOX CFRT+) predicts late grade ≥2 toxicity from conventionally fractionated (CFRT) or moderately hypofractionated (MHFRT) radiation therapy for patients with localized prostate cancer. Together with PROSTOX Ultra, which is already available for patients considering stereotactic body radiation therapy (SBRT), the PROSTOX portfolio now provides risk assessment across a broader range of external beam radiation therapy (EBRT) types. We’ll discuss the updates and other patient concerns, such as insurance coverage and questions to bring to your doctors.

To find a copy of the slides, click here.

PCPEP – The Prostate Cancer Patient Empowerment Program: Improve Your Quality of Life

PCPEP – The Prostate Cancer Patient Empowerment Program: Improve Your Quality of Life

 

 

PCPEP – learn how to employ the Science and Practice of an Anti‑Inflammatory Lifestyle – With Dr. Rob Rutledge

AnCan is all about survivorship – improving Quality of Life after diagnosis, with a focus on diet/nutrition, exercise, stress management, and more.

We now welcome PCPEP (Prostate Cancer Patient Empowerment Program), a Canadian-based program at Dalhousie University in Halifax, Nova Scotia. https://pcpep.org to our AnCan family.

PCPEP’s goal is to optimize survivorship for prostate cancer patients and others. It does this through daily emails and videos focused on components that contribute to your QoL – exercise, nutrition, stress reduction, and the social connection that makes AnCan a big family.

Watch Co-founder Dr. Rob Rutledge, a GU radiation oncologist, explain the program.

The program is FREE and currently open to ALL men with a prostate cancer diagnosis. Although the presentation was made to Gents in early Active Surveillance, it is open to all levels.

To find a copy of the slides, click here.

AnCan thanks our Sponsors – Novartis, Blue Earth, Telix, and Foundation Medicine