Thank you for this valuable information. I have just been diagnosed with prostate cancer Gleson 6 (3+3) degree 1 in a very small section of the prostate from a MRI fusion prostate biopsy. This section was not detected as suspected area by the MRI that guided the biopsy. My surgeon told me that the affected section can't be visualised by the MRI. So, we decided for active surveillance for time being.
The insight into the focal therapy and its pros and cons are covered with your experience makes the content of this video important for students like us. Thank you.
The age of the patient is important for the treatment. I had FLA in 2018 and requires PSA testing every 6 month and Multiparametric MRI every year (active surveillance). The original cost was is high and some was covered by several Cancer Policies that I have. Last year the Doctor that read the MRI made a mistake claiming a tumor. 3 other Radiologist read the files and compared with previous MRI and concluded in no change. A new MRI was performed this year and was found OK and reviewed with AI software. The cost has to come down significantly and insurance company should cover the same way they pay radiation treatment.
Thanks for this information, Dr. Scholz, I really appreciate it. I have PC diagnosed 8/2018 with 2 of 12 cores positive, both on the left apex. One on the far left apex is 100% positive with perineural invasion, and the other at the mid left apex is 5% positive with no PI. Both have Gleason of 3+3. Would you think I'd be a good candidate for FLA? I am 46 years old, and my Father and his Father both had prostate cancer around the age of 64
My tumor is in the right apex. The rest of the gland was benign. Tumor was missed by 3T Multiparametric MRI completely. So, if the tumor was invisible to the MRI, sounds like I'd not be a good candidate for focal therapy. I'm 73 and I don't want the whole gland treated due to the side effects....what do I do. GA68 PET scan on the 21st of March.....simulation scheduled for the 24th....any ideas?
Excellent presentation. Dr. Scholz simplifies a complex issue. If you want an excellent current book on prostate cancer, get "The Key to Prostate Cancer: 30 Experts Explain 15 Stages of Prostate Cancer."
