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Living with cancer· Appointment prep

Appointment sheet: Neuroendocrine and small-cell prostate cancer

One page to bring and write on: your details, the questions for Neuroendocrine and small-cell prostate cancer plus your own, the words you may hear, what to bring, the treatments the standard of care names, and room for the answers and agreed next steps. What you type stays in this browser. Print it or save it as a PDF. New to all this? Start with the first 60 days. Orientation, not medical advice.

Tick the questions to print

All of this cancer's questions start ticked. Untick what does not apply; ticks are kept in this browser. .

Your own questions

Shared with the prep pack, so questions you add there appear here too.

Print or save as PDF

Use (or Ctrl+P, Cmd+P on a Mac). To keep a copy, choose Save as PDF as the destination in the print dialog. Only the sheet prints; the controls stay on screen. Your typed notes print where you typed them; empty fields print as ruled lines to write on.

Appointment sheet

Neuroendocrine and small-cell prostate cancer

Prepared with OnCo (onco.cc/prep/prostate-nepc/). Orientation, not medical advice; your team knows your case.

My details

Name
Date of appointment
Hospital and clinician
Who is coming with me

What I know, what is unclear, changes to discuss

Saved in this browser
What I know so far
What is unclear to me
Changes since last time

My questions

17 on the sheet
Newly diagnosed
  1. 1.What is my exact diagnosis, stage, and grade, and which tests established them?
  2. 2.Which biomarkers have been tested on my tumour (for example Synaptophysin, chromogranin and INSM1 staining, Loss of androgen receptor and PSA expression, Combined RB1 and TP53 loss, MYCN and AURKA amplification, DLL3 expression), and what were the results?
  3. 3.Which subtype is my cancer, and does that change the recommended treatment?
  4. 4.Is germline (inherited) genetic testing recommended for me or my family?
Small-cell or predominantly neuroendocrine
  1. 5.For my situation (small-cell or predominantly neuroendocrine), which of the standard options do you recommend and why?
  2. 6.Am I a candidate for Platinum + etoposide (EP / CE), Cisplatin, Carboplatin or related drugs, and what side effects should I expect?
Mixed adenocarcinoma and neuroendocrine, or aggressive variant
  1. 7.For my situation (mixed adenocarcinoma and neuroendocrine, or aggressive variant), which of the standard options do you recommend and why?
  2. 8.Am I a candidate for Carboplatin, Docetaxel, Cabazitaxel, and what side effects should I expect?
Recognition and biopsy
  1. 9.For my situation (recognition and biopsy), which of the standard options do you recommend and why?
  2. 10.Am I a candidate for Pembrolizumab, and what side effects should I expect?
Trials
  1. 11.For my situation (trials), which of the standard options do you recommend and why?
  2. 12.Am I a candidate for Tarlatamab, Mevrometostat, Lurbinectedin, and what side effects should I expect?
Any stage
  1. 13.Are there clinical trials I could join, for example of Tarlatamab, Mevrometostat, Lurbinectedin, Ifinatamab deruxtecan?
  2. 14.Would a second opinion at a high-volume centre change anything, and can you help arrange it?
  3. 15.What supportive care (symptom control, nutrition, exercise, mental health, financial help) is available from the start?
  4. 16.I read that “No approved therapy specific to the disease; every regimen is borrowed from lung cancer”. How does that affect my plan?
  5. 17.I read that “No blood test reliably detects the lineage switch before it shows on scans”. How does that affect my plan?

The words I may hear

Tests and results to bring

Biomarker results to ask for: Synaptophysin, chromogranin and INSM1 staining, Loss of androgen receptor and PSA expression, Combined RB1 and TP53 loss, MYCN and AURKA amplification, DLL3 expression, Serum chromogranin A, neuron-specific enolase and lactate dehydrogenase, FDG PET-avid, PSMA PET-negative lesions.

Scans and tests linked to this cancer: PET (positron emission tomography), PSMA PET.

Bring copies of scan reports, pathology and blood results, and a list of every medicine and supplement.

The treatments I may be offered

From the standard of care recorded for this cancer; which apply depends on your stage and biomarkers. Ask which the team recommends and why.

Answers and next steps

Saved in this browser
What I was told
Agreed next steps, dates and who to call