Treating Lymph Node  

I’d just give you both a big thumbs up. The cure is obviously death but until then life. One of my docs gave me 5 years. My first thot was I was dying but my next was no I’m still living. That was 12 years ago.

Six years ago, I had the standard radiation for my 4+3 rated prostate cancer...about a year ago, my post-radiation PSA began to move up, after being down to near zero...after three readings moving upwards, to just under 2.0, My oncologist did a PSMA PET scan, and two lymph nodes did light up, although dimly. So, I had three doses of Stereotactic radiation...very precise aiming right at the two small areas of lymph node cancer. My doctor says I have at least a 90% chance of total success! He will be checking my PSA levels in the oncoming months and he expects those levels to move back down. That PSMA pet scan is a fantastic step forwards, in spotting tumors!...I was actually scanned from my head to my knees, with no reactions to the isotope, except for those two lymph nodes. Amazing technology!

An excellent and very topical reference video from professionals. I really appreciate this video and the information imparted.

That was a helpful video thank you for doing it i am going to Sylvester cancer Institute at UM of miami Florida i have been treated in the prostate and 1 5mm spot in lymph node . I did a psma after 6 months of treatment with trelstar my doctor says stop for 3 months and see what happens the side affects are terrible from hormone injections . Your videos have been so helpful in my treatment I have referred these videos to endless amount of people thank you again

Excellent presentation as always, your information helps so many understand, act, and cope.

Thanks ever so much for these informative videos ,have helped me on my journey through this disease.Keep up the good work 😊

Thank you 😊 🙏

Very useful information

Thanks again! Very informative!

So helpful. Thanks for everything you do here.

So good to get this information, very helpful, thank you.

Very helpful. Thanks!❤

I do enjoy these videos. I have a case that I’ve not yet seen. I was diagnosed 2 years ago. Stage 4 with about 5 lymph nodes involved. My PSA at that time was 7.2. I was immediately put on ADT therapy…(Lupron/Zytiga/Prednisone). Within 7 months my PSA was undetectable. It has remained that way ever since. I’m scheduled to be on this treatment for another year (3 years total). It’s been rough but, I’ve managed the side effects pretty well. Diet changes and working out 3 times a week. I have never had any radiation. My oncologist seems to be hesitant because of the side effects which can be worse than what I’m currently experiencing (minimal). I was thinking of asking for another PSMA Pet Scan before going on the “holiday” next year….provided my numbers remain undetectable. I just don’t know at this point if radiation should be required.

I've been binge watching these type of videos. My PSA is 5.56 and I had an MRI last week. Won't know the results until March seventh when I will see my urologist. I have a UTI at present (now on antibiotics) and possibly had one the last time I had PSA checked, which could have some bearing on the level itself. I'm hoping and praying that's all it is. I'm seventy two. Still virile and can have intercourse. Hate to ever lose that precious gift. I will get another PSA test tomorrow by my GP.

Seven years ago my PSA was elevated and detected by my MD at annual exam. I was given antibiotics for two weeks to see if there was infection in the prostate. My PSA remained the same. The next step was a 12 straw biopsy. One straw showed cancer and another was suspect. I was given a Gleason score of 4+4. I was given a three month dose of Firmagon. Then I underwent 44 treatments of IMRT. 15 months of Lupron followed the Firmagon. My PSA dropped to 0.6 and remained there until my 6th year, when it jumped to 1.9. A PET scan was ordered and detected Lymph node metastasis on the right side. I was given three month Lupron shot and have just completed 30 IMRT treatments. I am scheduled for 15 more months of Lupron with additional 2nd generation drug Aberitarone (Zytiga).

Thank you! I’ll ask my oncologist about combining treatments for the next round of ADT in May, 2024.

Thank you for another informative video. I took a calculated risk, about a year before the PSMA was approved in the US, and went off ADT to use the axumin scan to see why my psa was trying to double in a month. The cancer was found to be in lymph nodes at the edge of previous radiation. I had radiation again in May of 2022. I was supposed to stay on the prednisone, zytiga, lupron triple play for 2 years. What I suspect is long covid sucked the life out of me and I stopped in November of 2023 as I had given up on life because I had no enegy left. I used to run and running would offset the fatigue, now it makes the fatigue worse. I have lost not only a way to regain energy but good mental medicine as well. I felt the lupron shot go away second week of November. I was hoping that we got the last of the cancer and it would be curative but I knew it was not guaranteed. In December my PSA was less than 0.01, in Jan it was 0.12, this month Feb it was 0.21. I don't know how fast is normal but this seems like what I have experienced the two other times I stopped ADT and I have become disapointed with this. I'm concerned because a positive attitude is what I think is my biggest tool against this monster and I'm struggling to stay positive. What I expect the oncologists to do going forward is a PSMA or another Axumin scan when my psa increases enough. What I have realized over the weekend (I learned of my 0.21 on Friday) is that perhaps the next step is to figure out the PSA density. I believe high PSA runs in the family and I know Dr. Scholz has mentioned at least one patient that has a high psa but seems to be without cancer. For now I think it is a waiting game. Anschutz is a center of excellence but is two states away so I'm not able to take advantage of the mental health opportunities. I live in a rural area and have not found a good solution for me. There are a couple of local social workers but I seem stuck with them and would prefer someone that understands the dynamics of a cancer patient. I would like to run again I've regained a lot of weight and I no that's not good for my cancer battle. If you made it this fart thanks for listening to my rambling. If you have other ideas I should be looking into let me know please.

Interesting this video came up tonite. Haven't watched in a while. I had one Partial lymph node positive after surgery...believe it or not, 26 were taken out. My cancer was growing on the edge of my prostate & it did enter a seminal vesicle. Gleason 4 + 3. I did later have a rising PSA. All scans for further metastasis were negative. I had 40 "broad area" (all) low dose radiation treatments. Although my experienced radiologist thought we got it all...based on later PSA (I did a LOT of other treatments, including homeopathic, which might have kept that number down) he was certain I may no longer have any cancer cells left. I didn't believe him...and a 7 month later PSA Test of .22 proved I was right. I get another test tomorrow--one month later to the day. The strategy now in large part is that we need it to grow just enough to finally show up on a PSMA PET scan. While that is a very scary thought, the hope is that it is still down there in the pelvic area...and was on the edge of the treated field...and simply missed or damaged...and we can target it specifically with higher-dose "targeted" radiation. Likely will go on hormone treatment as well. I am hopeful ! How might intraductal influence any disease ?? We need Cures for cancer !!

I had a prostatectomy followed by radiation to reduce the psa with 2 years of lupron. Now my Testosterone is up to 258 and my psa went from a hormone controlled .2 to today’s number of 1.8 and in 2 weeks I’m going to get my PSAT to set the future plan. Yes, that puts me 5 years out from surgery that had a clear margin removal.

Enjoyed your video today and I always feel better after watching your videos. I just completed radiation treatment 25 out of 35 this morning. In July I had RP after my PSA was tested at 28 in March 2023. Bone scan, CT scan and MRI, prior to surgery, were all clear. Pathology following surgery showed spread to lymph nodes. I was sent to radiology and PSA was checked (now three weeks following surgery) and came back at 35. I was sent to get a PSA PET scan that now showed Mets to lymph nodes in upper abdomen. I began fermagon September 15 (two months post surgery), switched to Lupron now, and began radiation on January 16th of this year. I am to begin Zitega at the end of radiation. So far I have tolerated well all treatment. I have no symptoms, no lingering side effects from treatment, and feel pretty good. Now my question. I am stage IV with Mets to distant areas (upper abdomen lymph nodes). Statistics show stage IV five year survival rate is 28%. Your videos are encouraging but statistically it is discouraging. Can you do a show on this topic and explain the statistics and how they relate to patients that are pursuing treatment. I am confused and looking for some understanding as to what the future holds for me. There has to be some disconnect in this information. Thank you.

Question for you please. What is worse, Bone mets or Lymph Node mets? Thanks

Dr. Scholz - How would you think about periprosthetic LN that are adjacent to the prostate but not pelvic nodes per se?

I’ve been on Lupron for 3 1/2 years, should I be question my doctor about different treatment , psa was 3.9 Gleason 9 ,had surgery two years later, my psa with up , had radiation 37 treatments, a year later psa with to 6.8

I had a radical prostatectomy that failed followed up by salvage radiation therapy that also failed. My PSA was at 0.37 just before a PSMA PET scan in January 2024. Unfortunately, the PET scan at that PSA level didn't reveal "any recurrent prostate cancer or metastases." But we know that with my increasing PSA, the cancer is there someplace. I suspect the answer is "no," but can patients sense or feel the cancer that has spread to the lymph nodes? Is there tenderness? Swelling? Any other symptoms?

Any information about TACE, transarterial chemo? I am currently having TACE on my prostate and lymph nodes in the groin and close to the prostate. Results so far are favourable. Prostate tumours reduced (50 per cent) and stable, lymph nodes now not enlarged in groin. Any thoughts, experience of this TACE treatment and outlook. No other medical treatments this past seven years (since diagnosis).

What is proton radiation is it different than IMRT radiation

i am litening 20 times - patient= veterinarian ---- very useful

Is it possible for prostate to spread to the rib but mist the limp nose

Is enlarged lymph nodes close to a newly diagnosed PC always metastases, or can they be enlarged just due to them fighting the inflammation caused by the PC and simply doing their job?

IMRT is mentioned but not SBRT. Is SBRT an option?

Dear Dr. Please my husband has prostate cancer and very severe. He is very anemic and we keep getting blood transfusion. Please what can we do.

What did he mean by it when he said he can keep a 75 year old alive till 95 easily? 8:18 on the time spot

how about surgery with two nearby lumph nodes?