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Did Decipher GRID report help guide your treatment decisions?
Prostate Cancer | Last Active: Apr 27 11:10am | Replies (39)Comment receiving replies
ok I am 72, My PSA has been between 4 and 8. My PSA has always been all over the place. I have had 2 MRIs, they were used for the targeted biopsy. I have had 2 Pet scans nothing is outside of the prostate. Because I had 3+4 in less then 2% 0f one core and 3+3 in 25% of another core so I am assuming that I am a overall 7 . My Doc says I am stable. My radiologist told me that if my latest biopsy did not change he could do radiation in 5 treatments and no HT. But because I have BPH he would want me to get a HELOP. That Is why I am wondering about doing the decipher test so I can make up my mind to continue active surveillance or go with Radation option. thanks
Replies to "ok I am 72, My PSA has been between 4 and 8. My PSA has always..."
I am 70 years old had fusion biopsy with 23 cores 14 benign, 6 with 70% 4+3=7 and 3 with 40% 3+4=7 I had the PSMA PET which showed nothing outside the prostate. I had a Decipher test which came back 0.38 so low risk of metastasis I have met with Mayo surgeon, Radiation Oncologist, and Urologist regarding focal therapy. My prostate is 50.4 CC and my tumor only .42 CC so about .5% volume. I have decided to do nothing, as the side effects are just not something I want to deal with. The study from the UK which took thousands of men with Intermediate risk PCa 1/3 did surgery, 1/3rd radiation and 1/3 Active surveillance, at the end of 15 years the mortality rate was the same for all 3 groups. I could only wish I had your numbers, remember 3+3 =6 Gleason is not really even cancer. Don't get sucked into the treatment game, it's big business. I am doing the Ketogenic diet, absolutely zero sugar and very few carbs, that starves the cancer cells, I have only been on it 2 months, but my PSA has already dropped from 6.62 to 5.12
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The executive summary is;
68, one 3+3, one 4+3, clear PSMA PET, PSA 7.8, Decipher 7.8.
Treatment was SBRT with focal boost to primary lesion and 6 months of ADT with Orgovyx. The SBRT was a breeze and the ADT is no big deal ( 24 days remaining....but who's counting?). Stay engaged, keep educating yourself and importantly ......advocating for yourself. Here are a couple more forums;
https://www.inspire.com/groups/zero-prostate-cancer/https://www.reddit.com/r/ProstateCancer/new/https://healthunlocked.com/prostate-cancer-community/postsStay Strong Brother!!