← Return to Radiation + ADT

Discussion

Radiation + ADT

Prostate Cancer | Last Active: Feb 15 12:35pm | Replies (29)

Comment receiving replies
@toolbelt

I am not an Oncologist, but I think most would call "12 core biopsy with 2 cores 3+3, 1 core 3+4 and one core 4+3" something other than low risk. I had 12 cores with one 3+3 and one 4+3 and was deemed "unfavorable intermediate". What tripped the trigger for ADT (via Orgovyx) was a Decipher score of 0.83. I am currently on my third month of a six month ADT regiment having completed my SBRT Dec 28th.

I would encourage the OP to have a second opinion on the pathology of the biopsy, a Decipher test, and a PSMA PET.

Jump to this post


Replies to "I am not an Oncologist, but I think most would call "12 core biopsy with 2..."

My husband, Jim, was informed that he was high risk even though the surgeon said that he was intermediate. What is involved in getting the decipher test? He is dead set on not getting any hormone treatment. They are recommending 18 months of Eligard. He is having the spacer surgery on 3-14-24 and doing the CT and MRI scans on 3-15-24. I presume the Proton Beam therapy will begin the following week. Originally, he was going to do the RP but surgeon said that he had a larger prostate and he couldn't guarantee that he wouldn't be totally incontinent. I think that this terrifies him more than anything as well as the hormone treatment. He is afraid of the side effects that could happen like stroke and heart attack ETC.