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Treatment options: radiation without ADT?

Prostate Cancer | Last Active: Jul 28 9:17am | Replies (39)

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@clyman

My various test values were nearly identical to yours at age 72. I did 6 months of ADT. With new research trial results recently published, I personally would consider passing on ADT at your age - if you do it, I would only do 4 months. At your age and Gleason 4+3, the potential negative impacts of ADT in my opinion outweigh the potential benefits. At minimum, get a second opinion from someone up to date on newly published research. ADT is not standard of care for 3+4 but has been for 4+3. The new research does not seem to support the older standard of care recommendations. ADT is nasty enough on metabolic health to avoid at your age in my opinion. If you were age 70, I might be more on the fence - but not at age 79. At minimum, research the Prostate Cancer Research Institute presentation on the new research on this matter for Gleason 4+3. In a nutshell, I believe advancements in scans and other prostate related testing render ADT for 4+3 less compelling. I wish you all the best.

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Replies to "My various test values were nearly identical to yours at age 72. I did 6 months..."

Thank you for your reply.
My research mode is in “overload “
I’ve spent hours viewing the PCRI site. Currently scheduled for a third opinion with Stanford cancer center this week.
Just ran across data on new test by ArteraAI.
How are you currently feeling?