August 11, 2005
CREDIT: Ray Smith, CanWest News Service
Dave Smith is a cancer survivor.
Eight years ago, things weren't looking good for retired engineer Dave
Smith, who had advanced and inoperable prostate cancer. Today, however,
Mr. Smith is in good health, thanks to an experimental prostate cancer
treatment devised by Victoria oncologist Dr. Charles Ludgate.
For Mr. Smith, then 69, treatment involved taking hormones for a year,
then radiation, then more hormones.
"I owe my life to Dr. Ludgate," says the retired University of Calgary
chancellor, whose cancer never returned and who lives near Victoria.
The hormone therapy reduces the prostate specific antigen (PSA), which
is secreted by the prostate and linked to cancer activity.
"What's really impressive is, over the past nine years, we've had no
deaths among patients whose PSAs we've driven down to 0.1 or less with
hormone treatment, which is almost all of them," Dr. Ludgate says.
These latest findings caught the eye of editors at the International
Journal of Radiation, Oncology and Biology, who rushed to publish his
results in the current issue. "We've been exploring the use of hormones
since the mid-eighties, looking at treatment of one year, two years,
three years," says Dr. Deborah Kuban, an oncologist and a member of the
journal's editorial board.
"What is really valuable and significant about Dr. Ludgate's work is
[that] he is telling us that hormone therapy length is not as important
as what happens with the PSA.
All his patients had high PSAs to start with, but in cases where they
fell to 0.1 or less before radiation, patients did best."
knowledge is power - growing old is mandatory - growing wise is optional
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
John Loomis - 12 Aug 2005 03:44 GMT
Good News. very cool.
John Loomis
> August 11, 2005
>
[quoted text clipped - 38 lines]
> invariably fatal. Prostate cancer is only sometimes so."
> http://community.webtv.net/PALMER_ENT/doc
David S. - 12 Aug 2005 13:50 GMT
I am not clear on how this differs from the therapy that others have
received? Is this claiming 100% cure rate?
> August 11, 2005
>
[quoted text clipped - 38 lines]
> invariably fatal. Prostate cancer is only sometimes so."
> http://community.webtv.net/PALMER_ENT/doc
Ken - 12 Aug 2005 19:29 GMT
David S. ... I join with your "unclarity." I read the post three times
and don't get it. Is this the same hormonal therapy that's been around
for more than a decade, or is there something new here that I'm just
too dense to recognize?
Stavros Moschos - 12 Aug 2005 17:22 GMT
"we've had no deaths among patients whose PSA's we've driven down to 0.1 or
less with hormone treatment, which is almost all of them, " In my own case
after eight months of hormone therapy, my PSA went from 26.5 to 2.5, not .1
or less as claimed.
> August 11, 2005
>
[quoted text clipped - 38 lines]
> invariably fatal. Prostate cancer is only sometimes so."
> http://community.webtv.net/PALMER_ENT/doc
Alan Meyer - 12 Aug 2005 19:59 GMT
I think what is being reported here is that those men whose
response to hormone therapy sends their PSA down below
0.1 will all benefit from HT for at least 10 years. I'm not sure
there's anything "new" in the treatment or even the finding
since it's been known for years that the lower your PSA is
driven by HT, the better your response to it is.
That's excellent news for men like Steve Kramer and
Heather's Ron, both of whom went down to .05.
However men like Stavros who did not go below 0.1
shouldn't be too discouraged. This finding doesn't
mean they won't last 10 years too. Their odds aren't
as good, but they might still get many, many years out
of the therapy.
Alan
Steve Kramer - 12 Aug 2005 22:21 GMT
> I think what is being reported here is that those men whose
> response to hormone therapy sends their PSA down below
[quoted text clipped - 5 lines]
> That's excellent news for men like Steve Kramer and
> Heather's Ron, both of whom went down to .05.
I was getting ready to reply to your first paragraph and then I read the
second and it about covers what my interpretation was. And, 10 years is (A)
more than I had hoped for and (B) just enough to get me to Year 2015.
As such, this seems to be excellent news for me. But, I dont know who Ray
Smith or the news service is, so I'll hold off before doing the back flips.

Signature
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05
PSA .07 .05 .06 .05
non Illegitimi carborundum
Heather - 12 Aug 2005 22:39 GMT
> > I think what is being reported here is that those men whose
> > response to hormone therapy sends their PSA down below
[quoted text clipped - 8 lines]
> I was getting ready to reply to your first paragraph and then I read the
> second and it about covers what my interpretation was. And, 10 years is
(A) more than I had hoped for and (B) just enough to get me to Year 2015.
> As such, this seems to be excellent news for me. But, I dont know who
Ray Smith or the news service is, so I'll hold off before doing the back
flips.
Hi Steve......
Running out to dinner, but I will track Ray Smith down. Canwest is a huge
newspaper conglomerate here in Canada and other countries......owned by Izzy
Asper.
British Columbia also has an excellent Genome Laboratory and they are in the
forefront of new discoveries, working along with other countries. I realize
this is all vague, but I will get the hard info when I get back. But from
where I sit, this sounds pretty damn good!!!!
Cheers.....Heather
Steve Kramer - 12 Aug 2005 23:55 GMT
> > As such, this seems to be excellent news for me. But, I dont know who
> Ray Smith or the news service is, so I'll hold off before doing the back
[quoted text clipped - 10 lines]
> this is all vague, but I will get the hard info when I get back. But from
> where I sit, this sounds pretty damn good!!!!
Not vague at all, Heather. Thanks.