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Gleason 6 (3+3) treatments

Prostate Cancer | Last Active: Aug 18 3:46pm | Replies (111)

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@jrhamp

Hi All: Background: March of 2010; Gleason score 3 plus 3; PSA: 6.47. Proton radiation therapy at Loma Linda Hospital for 2.5 months (5 minutes on the table every morning). PSA remained under 1.0 for six years. Began increasing every year to current, as June 2024 to 4.29. Had MRI last week which reveals cell configuration meaning how the cell as "changed" due to cancer. The stages in cell growth in terms of cancer possibilities is rated one (1) to five (5). Mine was rated at five (5) meaning cancer has potentially returned. Keep in mind recurrence is common after both surgery and radiation (all methods), as one in seven men have recurrence after treatment.
Now, the next step..what to do. Options are: do nothing, keep PSA test every six (6) months as watchfull waiting; undergo at PET scan (radiation) to validated the MRE scan or possibily surgery. RECURRENCE IS THE ISSUE AND HOW TO TREAT. If anyone has similar circumstances like mine, let me know what your decision was with the recurrence issue. Thanks in advance..and special thanks to Mayo Clinic for this supportive website. RH/Leesburg, Florida

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Replies to "Hi All: Background: March of 2010; Gleason score 3 plus 3; PSA: 6.47. Proton radiation therapy..."

PSMA PET scan should be able to identify location of any cancerous lesions w/ PSA over 4.
Individual lesions may be able to be radiated.
Or the scan will assist in determining next options.
Best wishes (layman not Dr here)