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Gleason 3+4 Active Surveillance, PSMA Alternatives, and More | Answering YouTube Comments #46 | PCRI

Medical oncologist Mark Scholz, MD answers questions from YouTube comments focusing on active surveillance for Gleason 3+4 and advanced prostate cancer. 0:05 "Can you get a prostate cancer recurrence without any change in PSA?" 0:41 "I have a Gleason 3+4 and I am considering active surveillance. Can you please tell me which tests I need to take to confirm that my cancer is low-grade? Where can I find these tests?" 2:39 What is the active surveillance protocol for a Gleason 3+4 patient? 4:01 How often would a Gleason 3+4 patient need to have their PSA checked? 4:57 How do you deal with a 3+4 active surveillance patient whose PSA is above the normal range? 5:45 "I am 56 and diagnosed with advanced metastatic prostate cancer. My PSA dropped immediately when starting Lupron and Xtandi and now my doctor wants to administer radiation to the prostate itself. Is there any benefit to local radiation?" 7:24 "If a PSMA PET scan fails to find a lesion at a PSA level at which the scan would be expected to find one, should the patient consider having an Axumin or choline PET scan as well?" 8:22 "How long should a patient wait to see if a second-generation anti-androgen (e.g. Xtandi, Zytiga, Nubeqa, Erleada) is working before starting a different treatment?" Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org To learn more about prostate cancer visit http://www.pcri.org Who we are: The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better-individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors. The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs. #ProstateCancer #MarkScholzMD #Prostate