Gleason 6 But high decipher score.

Posted by caryg1955 @caryg1955, Jul 24 4:59pm

Treatment suggestions for newly diagnosed 69-year-old Gleason 6 In 2 out of 15 Biopsy samples. Both malignant samples were in a small nodule. Had high decipher score. PSA rose from 2.5 to 3.83 which indicated an MRI and then A fusion biopsy. Thinking of going with IMRT Radiation without ADT therapy. Please let me know your thoughts.

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@dedehans

I am a bit loss on the numericals for decipher score.....what is the range? I know someone who has a .44 decipher score. Is this high risk, medium? Low? So far 3 and 3 gleason but new stuff shown up and new biopsy in near future. thank you.

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Not high. Anything over 0.6 is considered high.

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@stevenp

Thanks a ton @retireditguy and @robertmizek, good info both of you. I was wracking my brain earlier wondering why I had ruled out Brachytherapy and i just remembered: somewhere I read that the seeds will make me radioactive toward others and close contact is not recommended for a short time. My mind went immediately to my new (1st) grandson, and my daughter’s paranoia about him getting sick. If she were to hear that I might be radioactive she’d probably ask me not to hold or play with him. That would break my heart! Have either of you heard that about Brachy?

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There are different situations whether it is HDL Brachytherapy ( Temporary Seeds ) or LDL Brachytherapy . ( Permanent Seeds ) . There are lots of on-line data sites , from reliable medical professionals , which address your question specifically by medical professionals .
If you are considering this procedure and depending on which one . Your doctor may issue you a " Radiation Letter " , if you are passing theouugh security at an Airport for example .

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I found this to be very helpful for me, however each person and situation is different.

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