California HIFU Blog
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Prostate Cancer Therapy, Bay Area, CAWed, 22 Jun 2011 04:46:14 +0000http://backend.userland.com/rss092enLow Risk Prostate Cancer in Men Under 65Reported in AUA Daily Scope (5/5/11) From Swedish Cancer Study: Now with 15 year follow-up. Of 700 men under 65 who volunteered to be randomized into Surgery vs Surveillance, the Surgery group had 38% fewer cancer deaths, and 41% lower risk of cancer spread to other parts of ...
http://californiahifu.com/wordpress/low-risk-prostate-cancer-in-men-under-65/
Radiation Therapy and Loss of EjaculationFrom Memorial Sloan-Kettering reported at the 2010 AUA Meeting: Men treated with radiation reported loss of ejaculation over time: At 1 year---16%, 3 years---69%, 5 years---89%.
http://californiahifu.com/wordpress/radiation-therapy-and-loss-of-ejaculation/
Hip Fractures and Radiation TherapyIt has long been known that Proton Beam Therapy is associated with hip fractures due to the delivery of the beam through the hips, and subsequent weakening of the bones.
At the 2010 American Urology Ass'n Meeting (5/10), Bankhead reported a 70% increased risk of hip fractures in men treated with ...
http://californiahifu.com/wordpress/hip-fractures-and-radiation-therapy/
Worse Outcomes With Laparoscopic Radical ProstatectomyFrom Cleveland Clinic (4/11) reported in AUA Daily Scope: Men with Intermediate Risk prostate cancer had significantly worse 5 year survival rates, higher PSA failures, and more need of additional therapies (Salvage) when treated with Laparoscopic (including DaVinci Robot) Radical Prostatectomy than men treated with Brachytherapy, External Beam Radiation, ...
http://californiahifu.com/wordpress/worse-outcomes-with-laparoscopic-radical-prostatectomy/
Active Surveillance and Eventual Need for TreatmentApproximately 40% of men with "low risk" prostate cancer (as now defined) managed with A.S. currently go on to require treatment. Studies from Northwestern U and Johns-Hopkins show better outcomes if these men are treated early (before 6 months) rather than after 6 months from time of diagnosis.
Hence, it ...
http://californiahifu.com/wordpress/active-surveillance-and-eventual-need-for-treatment/
Older Men With Prostate CancerJournal of Clinical Oncology (3/11): U of Conn---Over 65 with localized low grade prostate cancer less likely to die from it over next 10 years if untreated.
Agrees with 5/11 report from Swedish National Healthcare stats supporting Active Surveillance in this age group.
NOTE: These findings differ from those in ...
http://californiahifu.com/wordpress/older-men-with-prostate-cancer/
Prostate Swelling After Brachytherapy and Seed MigrationFrom Medwire 11/30/10: The Japanese Journal of Clinical Oncology reports that 69.4% of men experienced seed migration within 30 days of implantation. They believe it may be related to the swelling occurring after implantation. Obviously this would result in intense radiation exposure of organs to which the ...
http://californiahifu.com/wordpress/prostate-swelling-after-brachytherapy-and-seed-migration/
Hormone Therapy in Prostate Cancer Linked to Colon CancerReported in Medscape 11/10/10 from Univ. of Michigan: Over 100,000 men studied found a 30-40% increased risk for Colorectal Cancer in those getting hormone ablation therapy for Prostate Cancer. The longer the men were treated with hormone therapy, the greater their risk, with the greatest risk in those ...
http://californiahifu.com/wordpress/hormone-therapy-in-prostate-cancer-linked-to-colon-cancer/
Anticoagulants and Prostate CancerFrom the Oct. 29, 2010 AUA Daily Scope: Men with localized prostate cancer on anticoagulants have a 50% reduction in risk of dying from prostate cancer as compared to men not taking anticoagulants. This from the Univ. of Texas Southwestern Medical School in Dallas, lead author Kevin Choe. ...
http://californiahifu.com/wordpress/anticoagulants-and-prostate-cancer/
Understaging Prostate CancersFrom the 6/1/10 AUA Daily Scope:
Quoted from the International Journal of Radiation Oncology, 60-70% of men with low stage, low grade prostate cancers, with PSA less than 10 (frequently managed with Active Surveillance), will be found at Radical Prostatectomy to instead have bilateral and higher grade disease. This implies ...
http://californiahifu.com/wordpress/understaging-prostate-cancers/