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Gleason7(3+4) - treatment options recommendation

Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)
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@jc76

@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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Replies to "@manojsmishra You are at a great place. Are you asking about radiation effects? Yes both Mayo..."
manojsmishra | @manojsmishra | Aug 26 6:09pm

Thanks so much @jc76 . I have meetings with R/O tomorrow and then Thursday. I’ll ask the questions. Basically it will boil down to treatment option based on collective 5 opinions I have and then I’ll go with law of average to determine. I’m not medically knowledgeable but I can apply some math here to arrive at decision

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manojsmishra | @manojsmishra | Aug 26 6:55pm

Forgot to mention @jc76 . I have undergone prostate mri before doing prostate biopsy. MRI only showed PIRADS-4 and I had lesion since last 15 years and it was 1.2 cm. The only thing additionally mri indicated was that it is now EPE1(extra prostatic extension) and post biopsy there were 2 regions with G6(3+3) and G7(3+4) with 4 at 5% and then lesion was also G7(3+4) with 4 at 25% nothing on pelvic area and bones. Thinking I should ask R/O about this and determine if radiation /focal is still a candidate. Tough choices for sure

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