Re: HIFU vs Open Surgery?


"J" <nexsw@nvalid,anon> wrote in message
news:46D0E92E.C4DF683B@xxxxxxxxxxxxxxxx
Laurie Forbes wrote:

Does anyone have any information or sources of information on the
relative
efficacy of HIFU (High Intensity Focused Ultrasound) and open surgery for
early stage prostate cancer.

TIA for any assistance.......

LAF

Hello Laurie,
Have you read this?
<
http://www.bccancer.bc.ca/HPI/CancerManagementGuidelines/Genitourinary/Prostate/HIFU.htm


I think there's only a handful of posters who've had it done (on the
prostate
cancer newsgroup).
The most recent post/ man's was done I think last year and he has a
recurrence
in a seminal vesical, so he's having it done again. I just lurk there more
than post. Since he describes himself as being married for 53 years, I
assume
he's rather elderly (well 78) and thought this procedure might be
appropriate
for him, since the chance of dying of something else before this, would be
high. His Gleason was 4+5. He also stated that "Trials were limited to
below
Gleason 7 patients."

Someone else was asking about it and someone pointed them to searching
PubMed.
(with the words HIFU and prostate) and when I asked how to exclude mice
and
rats in the search no one answered me). I was being sarcastic because
studies
on rats are kind of useless.
I think I"ve seen some on the prostate cancer newsgroup who tried it after
their initial treatment failed (or they thought it had, failed, due to
slight
PSA increases).

In the situation you're inquiring about what is the age of the patient and
PSA?
Have you seen the decision-making discussion here?
<
http://www.bccancer.bc.ca/HPI/CancerManagementGuidelines/Genitourinary/Prostate/default.htm

You might want to read that and look at Table 1

Stey with us, please. Steph may have a comment for you.
Is it available in your Province?



I think the BCCA pdf file says it all.
It may be a good treatment for a highly selected group of patients, but we
don't know.


.

Relevant Pages

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  • Re: HIFU vs Open Surgery?
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  • Re: HIFU vs Open Surgery?
    ... His Gleason was 4+5. ... (with the words HIFU and prostate) ... I think I"ve seen some on the prostate cancer newsgroup who tried it after ... If you go to the prostate cancer newsgroup, ...
    (sci.med.diseases.cancer)