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@gwh

hello, im george, age 74, diagnosed feb 12th 24, gleason 7s and two 8s, psa 1600.
urologist seems in no hurry which makes me crazy. iv

weve had biobsy results since the 19th but hes waiting till march 1st to explain them to me.
the 1600 psa seems to indicate castration resistant spread.
i understand the need for data, but i fear hes going to test me to death

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Replies to "hello, im george, age 74, diagnosed feb 12th 24, gleason 7s and two 8s, psa 1600...."

Your biopsies seem a lot like mine, but with a PSA of 7 at age 79. The next step for me was a PSMA PET scan looking for extra-prostatic spread. None was found, so the disease may be localized to the prostate, which would allow a potentially curative radical prostatectomy or radiation. I chose radiation. Now, there is no sugar coating this: you have a brutally high PSA level. My first reaction is: has that been repeated (mistakes can be made). If yes, I would expect a PSMA PET would be next. However, the urologist may be looking at your general health versus the potential health risks of treatment options, and also quality of life issues, in treating what may well be castration-resistant disease. Good luck on Friday.

Hi George @gwh, how did your appointment go last week? What treatment options are you considering? Next steps?