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My PSA is 5.3, Gleason (3+4) 7 and Decipher .61. Do I need ADT?

Prostate Cancer | Last Active: Jun 23 10:19pm | Replies (19)
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@colleenyoung

Hi @okiedokie555, I hope you have seen the many helpful replies from fellow prostate cancer members. How are you doing? Have you made any decisions about your treatment plan and ADT?

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Replies to "Hi @okiedokie555, I hope you have seen the many helpful replies from fellow prostate cancer members...."
okiedokie555 | @okiedokie555 | May 28 10:45am

I do not want to undergo ADT. The side effects scare me. With a Decipher score of .61, do I really need it?

Patient Data 5-25-24

Age 68, High blood pressure, pre diabetes
Last three PSA scores 5.7, 5.8, 5.3
Decipher score .61
Currently undergoing Proton Therapy. Finished 10 of 29 treatments

Biopsy results:
A. Left lateral base of prostate, needle core biopsy:
-Prostatic glands and stroma without abnormality

B. Left lateral mid prostate, needle core biopsy:
-Prostatic glands and stroma without abnormality

C. Left lateral apex of prostate, needle core biopsy:
-Prostatic glands and stroma without abnormality

D. Left medial base of prostate, needle core biopsy:
-Prostatic adenocarcinoma, Gleason score 6 (3+3), grade group 1
-Tumor involves 0.5 mm of a single core biopsy (5%)

E. Left medial mid prostate, needle core biopsy:
-Focal chronic prostatitis

F. Left medial apex of prostate, needle core biopsy:
-Prostatic glands and stroma without abnormality

G. Right medial base of prostate, needle core biopsy:
Prostatic adenocarcinoma, Gleason score 6 (3+3), grade group 1
-Tumor involves 1 mm of a single core biopsy (8%)

H. Right medial mid prostate, needle core biopsy:
-Prostatic glands and stroma without abnormality

I. Right medial apex of prostate, needle core biopsy:
-Prostatic adenocarcinoma, Gleason score 7 (3+4), grade group 2
-Pattern 4 occupies approximately 30% of tumor
-Tumor involves 7 mm of a single core biopsy (75%)

J. Right lateral base of prostate, needle core biopsy:
-Prostatic adenocarcinoma, Gleason score 6 (3+3), grade group 1
-Tumor involves 0.5 mm of a single biopsy (6%)

K. Right lateral mid prostate, needle core biopsy:
-Focal chronic and acute prostatitis

L. Right lateral apex of prostate, needle core biopsy:
-Focal chronic and acute prostatitis

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