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	<title>Comments on: MRI-guided, targeted laser prostate cancer surgery &#8230;</title>
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	<link>http://prostatecancerinfolink.net/2009/10/28/mri-guided-targeted-laser-prostate-cancer-surgery/</link>
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		<title>By: Sitemaster</title>
		<link>http://prostatecancerinfolink.net/2009/10/28/mri-guided-targeted-laser-prostate-cancer-surgery/#comment-15055</link>
		<dc:creator><![CDATA[Sitemaster]]></dc:creator>
		<pubDate>Sat, 22 Oct 2011 11:46:48 +0000</pubDate>
		<guid isPermaLink="false">http://prostatecancerinfolink.net/?p=7100#comment-15055</guid>
		<description><![CDATA[Brian:

We do not offer phone or e-mail consultation. However, if you join our &lt;a href=&quot;http://prostatecancerinfolink.ning.com&quot; rel=&quot;nofollow&quot;&gt;social network&lt;/a&gt; we can certainly help you to understand the most appropriate options available to you for treatment ... if treatment is even necessary at all.]]></description>
		<content:encoded><![CDATA[<p>Brian:</p>
<p>We do not offer phone or e-mail consultation. However, if you join our <a href="http://prostatecancerinfolink.ning.com" rel="nofollow">social network</a> we can certainly help you to understand the most appropriate options available to you for treatment &#8230; if treatment is even necessary at all.</p>
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		<title>By: brian chinfong</title>
		<link>http://prostatecancerinfolink.net/2009/10/28/mri-guided-targeted-laser-prostate-cancer-surgery/#comment-15047</link>
		<dc:creator><![CDATA[brian chinfong]]></dc:creator>
		<pubDate>Sat, 22 Oct 2011 05:34:49 +0000</pubDate>
		<guid isPermaLink="false">http://prostatecancerinfolink.net/?p=7100#comment-15047</guid>
		<description><![CDATA[My biopsy showed very small rice grain tumor in one area of my prostate. I am looking for the right treatment for my specific  condition and need advice and guidance. Please contact me either by phone or email. Thank you.]]></description>
		<content:encoded><![CDATA[<p>My biopsy showed very small rice grain tumor in one area of my prostate. I am looking for the right treatment for my specific  condition and need advice and guidance. Please contact me either by phone or email. Thank you.</p>
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		<title>By: Steve Z</title>
		<link>http://prostatecancerinfolink.net/2009/10/28/mri-guided-targeted-laser-prostate-cancer-surgery/#comment-6287</link>
		<dc:creator><![CDATA[Steve Z]]></dc:creator>
		<pubDate>Sat, 31 Oct 2009 11:22:46 +0000</pubDate>
		<guid isPermaLink="false">http://prostatecancerinfolink.net/?p=7100#comment-6287</guid>
		<description><![CDATA[If and when imaging techniques are developed to reliably detect small prostate cancers, this technique could be used to treat them nearly as easily as small skin cancers that are removed when detected. Death from prostate cancer would become a thing of the past, or at least extremely rare.

Unlike so much of the research we see published on this board, this is a step in right direction toward ending prostate cancer death in our time, and without the side effects so common to current main stream treatment methods.]]></description>
		<content:encoded><![CDATA[<p>If and when imaging techniques are developed to reliably detect small prostate cancers, this technique could be used to treat them nearly as easily as small skin cancers that are removed when detected. Death from prostate cancer would become a thing of the past, or at least extremely rare.</p>
<p>Unlike so much of the research we see published on this board, this is a step in right direction toward ending prostate cancer death in our time, and without the side effects so common to current main stream treatment methods.</p>
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		<title>By: John E. Holliday</title>
		<link>http://prostatecancerinfolink.net/2009/10/28/mri-guided-targeted-laser-prostate-cancer-surgery/#comment-6274</link>
		<dc:creator><![CDATA[John E. Holliday]]></dc:creator>
		<pubDate>Thu, 29 Oct 2009 15:55:00 +0000</pubDate>
		<guid isPermaLink="false">http://prostatecancerinfolink.net/?p=7100#comment-6274</guid>
		<description><![CDATA[PCa tumors are not thought to be SUDDEN, single eruptions, that appear one day but did not exist the day before.  All indications are that they are slowly progressing clusters of cells, gradually turning from their benign state that encourages natural apoptosis cycles, into resistant malignancies made up of &quot;out of control&quot; cells that continue to multiply.  

Assuming this is the case, and considering the acknowledged limitations of current technology to identify very early occurring cellular changes (micro) and the multi-focal tendencies of the disease, what gives us any confidence that such focal treatment will ELIMINATE PCa?  This is particularly true when one considers that approximately 20 to 30 percent of radical prostatectomy and radiation patients, EVENTUALLY, recur.

It should be understood by newly diagnosed patients, that &quot;focal&quot; treatment, of any kind, has yet to prove itself in long range results and must be considered highly &quot;experimental.&quot; Providing that is clearly understood and the patient accepts the obvious risks inherent in such experiments, then he has the right to involve himself in such a &quot;trial,&quot; whether others think it is wise or not.  

When there are alternatives available, with known statistical findings exhibiting high rates of success, I guess I would tend to take the known over the unknown.  If the rates of success were unusually low, as in SOME more advanced PCa cases, I would likely be far more eager to ride the investigational wave, and to do so with optimism. - John@newPCa.org (aka) az4peaks]]></description>
		<content:encoded><![CDATA[<p>PCa tumors are not thought to be SUDDEN, single eruptions, that appear one day but did not exist the day before.  All indications are that they are slowly progressing clusters of cells, gradually turning from their benign state that encourages natural apoptosis cycles, into resistant malignancies made up of &#8220;out of control&#8221; cells that continue to multiply.  </p>
<p>Assuming this is the case, and considering the acknowledged limitations of current technology to identify very early occurring cellular changes (micro) and the multi-focal tendencies of the disease, what gives us any confidence that such focal treatment will ELIMINATE PCa?  This is particularly true when one considers that approximately 20 to 30 percent of radical prostatectomy and radiation patients, EVENTUALLY, recur.</p>
<p>It should be understood by newly diagnosed patients, that &#8220;focal&#8221; treatment, of any kind, has yet to prove itself in long range results and must be considered highly &#8220;experimental.&#8221; Providing that is clearly understood and the patient accepts the obvious risks inherent in such experiments, then he has the right to involve himself in such a &#8220;trial,&#8221; whether others think it is wise or not.  </p>
<p>When there are alternatives available, with known statistical findings exhibiting high rates of success, I guess I would tend to take the known over the unknown.  If the rates of success were unusually low, as in SOME more advanced PCa cases, I would likely be far more eager to ride the investigational wave, and to do so with optimism. &#8211; <a href="mailto:John@newPCa.org">John@newPCa.org</a> (aka) az4peaks</p>
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		<title>By: Tony Crispino</title>
		<link>http://prostatecancerinfolink.net/2009/10/28/mri-guided-targeted-laser-prostate-cancer-surgery/#comment-6269</link>
		<dc:creator><![CDATA[Tony Crispino]]></dc:creator>
		<pubDate>Wed, 28 Oct 2009 20:08:16 +0000</pubDate>
		<guid isPermaLink="false">http://prostatecancerinfolink.net/?p=7100#comment-6269</guid>
		<description><![CDATA[I agree.  Any patient willing to be in the first group to try these things is braver than I am.  And Barqawi is obviously attracted to being the first to perform such things.]]></description>
		<content:encoded><![CDATA[<p>I agree.  Any patient willing to be in the first group to try these things is braver than I am.  And Barqawi is obviously attracted to being the first to perform such things.</p>
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	<item>
		<title>By: Sitemaster</title>
		<link>http://prostatecancerinfolink.net/2009/10/28/mri-guided-targeted-laser-prostate-cancer-surgery/#comment-6266</link>
		<dc:creator><![CDATA[Sitemaster]]></dc:creator>
		<pubDate>Wed, 28 Oct 2009 19:57:40 +0000</pubDate>
		<guid isPermaLink="false">http://prostatecancerinfolink.net/?p=7100#comment-6266</guid>
		<description><![CDATA[That would be true when you have some degree of comfort that they are at least as effective as currently available treatments. However, if I was diagnosed tomorrow with Gleason 9 localized prostate cancer, I don&#039;t think I would be ready (yet) to forgo the known potential of an RP carried out by an acknowledged specialist in minimally invasive surgery to try laser-guided surgery. Maybe when Dr. B. has done a couple of dozen and has some follow-up data ... but not yet! Others may be willing to take such a risk now, of course -- and good luck to them.]]></description>
		<content:encoded><![CDATA[<p>That would be true when you have some degree of comfort that they are at least as effective as currently available treatments. However, if I was diagnosed tomorrow with Gleason 9 localized prostate cancer, I don&#8217;t think I would be ready (yet) to forgo the known potential of an RP carried out by an acknowledged specialist in minimally invasive surgery to try laser-guided surgery. Maybe when Dr. B. has done a couple of dozen and has some follow-up data &#8230; but not yet! Others may be willing to take such a risk now, of course &#8212; and good luck to them.</p>
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	<item>
		<title>By: Sitemaster</title>
		<link>http://prostatecancerinfolink.net/2009/10/28/mri-guided-targeted-laser-prostate-cancer-surgery/#comment-6264</link>
		<dc:creator><![CDATA[Sitemaster]]></dc:creator>
		<pubDate>Wed, 28 Oct 2009 19:35:40 +0000</pubDate>
		<guid isPermaLink="false">http://prostatecancerinfolink.net/?p=7100#comment-6264</guid>
		<description><![CDATA[I&#039;m not sure I would go quite &lt;em&gt;&lt;strong&gt;that&lt;/strong&gt;&lt;/em&gt; far. One way to look at this is that the best way to learn a technique like this is to start on patients who are at limited risk and then see if you can &quot;work your way up&quot; to being able to do it on those who would benefit most (presumably men with a small focus of Gleason 8-10 disease in one lobe).]]></description>
		<content:encoded><![CDATA[<p>I&#8217;m not sure I would go quite <em><strong>that</strong></em> far. One way to look at this is that the best way to learn a technique like this is to start on patients who are at limited risk and then see if you can &#8220;work your way up&#8221; to being able to do it on those who would benefit most (presumably men with a small focus of Gleason 8-10 disease in one lobe).</p>
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		<title>By: Tony Crispino</title>
		<link>http://prostatecancerinfolink.net/2009/10/28/mri-guided-targeted-laser-prostate-cancer-surgery/#comment-6265</link>
		<dc:creator><![CDATA[Tony Crispino]]></dc:creator>
		<pubDate>Wed, 28 Oct 2009 19:08:44 +0000</pubDate>
		<guid isPermaLink="false">http://prostatecancerinfolink.net/?p=7100#comment-6265</guid>
		<description><![CDATA[Seems backwards.  I would think that those with life threatening cancers should have the first access to experimental treatments.]]></description>
		<content:encoded><![CDATA[<p>Seems backwards.  I would think that those with life threatening cancers should have the first access to experimental treatments.</p>
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		<title>By: Tony Crispino</title>
		<link>http://prostatecancerinfolink.net/2009/10/28/mri-guided-targeted-laser-prostate-cancer-surgery/#comment-6263</link>
		<dc:creator><![CDATA[Tony Crispino]]></dc:creator>
		<pubDate>Wed, 28 Oct 2009 18:24:16 +0000</pubDate>
		<guid isPermaLink="false">http://prostatecancerinfolink.net/?p=7100#comment-6263</guid>
		<description><![CDATA[Doesn&#039;t Barqawi head up the focal cryotherapy program at UC as well?  Seems like an experimental playground for treating indolent cancer ...]]></description>
		<content:encoded><![CDATA[<p>Doesn&#8217;t Barqawi head up the focal cryotherapy program at UC as well?  Seems like an experimental playground for treating indolent cancer &#8230;</p>
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