Looking for information on prostate Cancer metastases to the brain My dad’s prostate cancer has spread to his left frontal lobe. He had a radical prostatectomy, radiation, hormone therapy (Lupron and Casodex)plus he has been undergoing Zometa infusions for the past five months. We have known for a little over 18 months that his cancer metastasized to his bones and even though his PSA level is not extremely high (currently 2.86) his cancer is still spreading rapidly. An MRI done just this past week shows (regardless of all these treatments and the lowish PSA) his cancer is now in his brain and is putting pressure on his brain. It was also discovered that he now has Hydrocephalus in the inner brain. He is now having minor seizures and memory issues because of the pressure the cancer is causing on the brain. Does anyone know of any treatment options? Or where can I find some info to educate myself. I am having a really hard time finding out info and treatment options for prostate cancer metastases to the brain. My father is only 65 and was diagnosed only three years ago this month. I can’t understand why we are getting such little time on all our treatments. We are currently waiting on an appointment with a neurosurgeon to see if this is operable, but in the mean time I am trying to research what options might be out there. - Desperate Daughter

This is an uncommon place for prostate cancer to spread. The largest series of patients reported was from MD Anderson hospital in Houston Texas. They reported that the brain lesions usually respond well to radiation and the patients do not usually die from the cancer in the brain. I have seen 6 patients with prostate cancer in the brain and indeed none have died of the brain lesion.

Ask Dr. Espinosa

Geo Espinosa, N.D., L.Ac, CNS, RH (AHG) is the Director of the Integrative Urological Center at New York University Langone Medical Center. Before joining NYU, Dr. Espinosa was a clinician, researcher and director of clinical trials at the Center for Holistic Urology at Columbia University Medical Center. He is a licensed naturopathic doctor, licensed acupuncturist, a Certified Nutrition Specialist and a Registered Herbalist. Dr. Espinosa is an author of the naturopathic entry in 1000 Cures for 200 ailments, by Harper Collins; March 2007 and “Prostate cancer – Nutrients that may slow its progression,” Food and Nutrients in Disease Management - Maryland: Cadmus Publishing, 2009.

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Medical oncologist and prostate cancer survivor, Dr Charles "Snuffy" Myers was a key player in creating AZT, Suranim, and Phenylacetate while working at the National Institute of Health. With over 250 research papers published, Myers is one of the leading developers of today's prostate cancer canon on both the research and treatment side of the test tube. Former Cancer Director at the University of Virginia, Myers opened the American Institute for Diseases of the Prostate in 2002 to provide men with the kind of comprehensive care that saved his own life. Dr. Myers has long been popular among prostate cancer patients as a speaker because of his ability to explain science and medicine in easy-to-understand language.

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Dr. Latini welcomes your questions about the psycho-social dimensions of Prostate Cancer, particularly those presented by Gay and Bisexual men. Dr. Latini is an assistant professor of urology at Baylor College of Medicine. Before joining Baylor, he spent six years in the Department of Urology at the University of California, San Francisco. Dr. Latini is a clinical health psychologist whose work concentrates on cancer survivorship and symptom management for persons living with genitourinary cancer.