In this CURE Connections program, Dr. Cheetham interviews renowned prostate cancer expert Dr. Leonard Gomella, who explains the meaning of the PSA test, prostate cancer staging and grading, and how these factors are used to determine which treatment approach is right for you. Management of prostate cancer related symptoms, available treatments, and how to deal with side effects are also discussed. In addition, you will hear from two of Dr. Gomella’s patients about their personal experiences with prostate cancer, as well as the perspective from a patient’s wife. Their stories will provide important information from men who have been through the challenges that you may be facing.
▼ Episode 1 Understanding Prostate Cancer Grade and Stage
Dr. Gomella and Dr. Cheetham explain the significance of a rising PSA test, the difference between prostate cancer grade and stage, and why these factors are important for choosing a treatment plan.
► Episode 2 Getting a Second Opinion on Your Biopsy Report
Dr. Gomella and Dr. Cheetham discuss the importance of getting a second opinion on your pathology report. There has been a lot of progress in understanding how aggressive or less-aggressive tumors can be treated. Genomic testing is the future, and you can discuss with your physician whether it is right for you.
Dr. Gomella describes the staging process for prostate cancer, when further testing is needed, and the use of imaging. Use of bone and CT scans are the current standard in terms of imaging modalities. Prostate MRI is the future.
► Episode 4 Multidisciplinary Care for Prostate Cancer
No two prostate cancers are alike, and treatment decisions can be complex. Multidisciplinary treatment planning includes input from several members of your care team, including your oncologist, surgeon, and radiation oncologist. In addition, the pathologist and radiologist may be involved. In some academic centers, the newest member of the team is a genetic counselor.
► Episode 5 Patient With Metastatic Prostate Cancer
Ed Bell, a patient whom Dr. Gomella describes as amazing, was diagnosed with metastatic prostate cancer 23 years ago, with a PSA level of 500 ng/mL. Ed is a living testimony of the success of clinical trials. He talks about his disease history and life after diagnosis and multiple treatments.
► Episode 6 Patient With Locally Advanced Prostate Cancer
John Buehler had locally advanced disease with a rapidly increasing PSA level. He was treated with surgery followed by observation. John comments on the support of his wife, the difficulty of deciding whether to undergo surgery, and the importance of talking to other people throughout his journey.
► Episode 7 Reliable Information About Prostate Cancer
The Internet is the "Wild West" when it comes to finding good quality information about prostate cancer treatment, according to Dr. Gomella and Dr. Cheetham. Both recommend that you talk to your doctor about the best resources. Patients with locally advanced disease will want information on surgical and radiation therapy approaches while patients with advanced disease will want to learn about available systemic treatments.
► Episode 8 New Drugs for Advanced Prostate Cancer
Although screening for prostate cancer is not currently recommended until symptoms appear, many patients are asymptomatic when they are diagnosed. Dr. Gomella provides an overview of treatments. He explains the meaning of "castration-resistance" and the emergence of several new therapies since 2010.
There is a need for more prostate cancer awareness among men. Because many men are hesitant to talk about their prostate cancers, they may miss out on the chance to learn from others. Ed and John share advice for other patients. Dr. Gomella provides his personal take-home messages, both for men with prostate cancer and for their sons.