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Gleason7(3+4) - treatment options recommendation

Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)
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@manojsmishra

Hi @jc76
I have been given option for focal as well as radiation therapy at Mayo Phoenix. I do have appointment in them.
In my case I do have a 1.2cm lesion which is g7(3+4) and mri is stating that it is in epe1 . But that did not seem to concern my oncologist urologist who will eventually perform my surgery if I choose to do so. I’ll discuss with R/O about it . With radiation
Were you told about its short/long term effects?

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Replies to "Hi @jc76 I have been given option for focal as well as radiation therapy at Mayo..."
manojsmishra | @manojsmishra | Aug 26 7:07am

Also my psa was 5.14 when i did yearly exam this April that lead to being referred to urology and subsequent test and diagnosis

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jc76 | @jc76 | Aug 26 5:35pm

@manojsmishra
You are at a great place.

Are you asking about radiation effects? Yes both Mayo and UFHPTI were very thorough with side affects both short and long term. One thing that all said was everyone is different and some will have symptoms and side affects that are minor, moderate or severe. Mine were minor and everything that showed up was told to me as a side effect.

All of those side effects gradually went away and not stopped my exercising (exept bike riding because of SpaceOar) or life style.

I am not a urologist or R/O but have you been offered additional diagnostic test: Decipher, PSMA, bone scan. Those test can really helped your urologist and R/O determine the treament options for you.

The side affects of surgery are much more than radiation normally but not for all. What I have read on MCC is the hormone treatments are the worst side affects for those who get it. I am glad both the R/O I had seen said hormone treatment would not be necesary and radiation alone should cure the cancer.

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