Expert Cancer Panel: High-risk prostate ca w/ positive margin at seminal vesicle and negative PSAs

Recorded on 3/27/2021

56-year-old male with very high risk prostate cancer who underwent surgery revealing right seminal vesicle invasion,positive surgical margins, Gleason 3+3 disease at the positive margin, and extraprostatic extension, and negative post operative PSAs.

Summary:
- Patient presents with high-risk prostate cancer with positive surgical margins and extra-prostatic extension for management following radical prostatectomy. Post operative PSA is negative.
- Consider monitoring of PSA until post-op PSA value is greater than 0.1 ng/dL. At this point proceed to order PET/CT such as PSMA-directed PET and proceed with early salvage radiation treatment.
- Panelists also recommend consideration of adjuvant radiation therapy rather than salvage as RAVES and RADICALS-RT trials showed more favorable outcomes for adjuvant RT in patients with very high-risk prostate cancer.
- In both of these scenarios patients should be considered for a limited time course of androgen deprivation therapy.
At PrecisCa, we are dedicated to providing expert second opinions for cancer patients to ensure they receive the best possible care. Our videos cover a wide range of topics related to oncology, including in-depth discussions on different types of cancer, treatment options, patient stories, and the latest advancements in cancer research. Whether you're a patient, caregiver, or simply seeking to expand your knowledge, our goal is to support you on your healthcare journey.

Visit our website: https://www.PrecisCa.com for more detailed information and personalized second opinions.

Stay connected with us:
Facebook: / precisca.oncology
Twitter: https://twitter.com/precisca_?lang=en
-Instagram: / precisca_oncology
-LinkedIn: / precisca

Don't forget to subscribe to our channel for regular updates and new videos. Hit the bell icon to receive notifications every time we upload. #Oncology #CancerCare #CancerSupport #CancerResearch #Health #Healthcare #CancerTreatment #CancerAwareness #PatientCare #MedicalAdvice #PrecisCa

Видео Expert Cancer Panel: High-risk prostate ca w/ positive margin at seminal vesicle and negative PSAs канала PRECISCA