Salvage Radiation, Lutetium-177, 3+4=7, & What is Cribriform? | Mark Scholz, MD | PCRI

Medical Oncologist, Mark Scholz MD, fields questions from our YouTube comments section. In this episode, PCRI's viewers asked, "Can SpaceOAR be utilized after radical prostatectomy (prostate surgery) for salvage radiation treatment?" "Is lutetium-177 an option for someone who has already had spot radiation treatment to a small number of metastatic lesions," and, "What are the implications of "cribriform" when it is listed as present on the pathology report of a man who has mostly Gleason 3+3=6 and a small amount of Gleason 3+4=7?"

0:13 Can a post-radical prostatectomy patient utilize SpaceOAR if they are being treated with salvage radiation? (SpaceOAR is a gel that is used to separate the prostate and the rectum to reduce the dose of radiation delivered to the rectum.)

2:05 Can a man have lutetium-177 if they have already received spot radiation to oligometastatic lesions?

3:45 "My pathology report had a lot of 3+3=6 and a small amount of 3+4=7 which I thought would make me favorable intermediate-risk; however, the report also says that it is "cribriform." Can you explain what that means and its implications?"

Who we are:

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 #PCRI

[daxmac]

Always terrific advice, guidance...at PCRI...Thanks Alex & Dr Scholz...with the whiskers and tie pattern...Dr Mark looks like a New Orleans sax musician.

[mmazkoory]

Very good informative videos Many thanks doctor.

[benlllkenn]

Dr. Scholz, Thank you for your candor in explaining the resources and available treatments for PC. My recent biopsy scored 3+4. It also revealed that the .. pattern lacked cribriform. What does that mean, going forward? My PSA and my age 74. Thank you .

[wilsoncastrillon]

Que bueno sería estos mismos videos en español

[LaureneSmith-sc]

My husband has criboform 4 can younexplain the outcomes differentiated from regular prostate cancer

[williamobrien]

Thank you for great information! Can you please tell me if using a rectal balloon is common in salvage radiation after surgery? Are there any better options?

[soumenchandra]

Question -

Is prolactin fuels pca as testosterone does? Should I take cabergoline to reduce prolactin level which is 8 currently? Any cons if using cabergoline?

I am 42, pca with diffused skeletal mets with initial psa 189, detected on march 2021, oritechtomy on April, 10 chemo and abi, psa <.006 in jan 2022, now 0.017

#MarkScholzMD #PCRI

[s.chaisrisuk]

Cribriform is relevant yet in a very small part of the equation?

[LaureneSmith-sc]

If someone has Gleason 7 3+4=7 and has Cibriform 4. Stage 2 cancer intermediate. Would you suggest taking out the prostate or radiation?

[davidmilne]

I heard him say chance of mastication from a pet scan.
Can you ask what does a pet scan consist of
Cheers