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Gleason7(3+4) - treatment options recommendation

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

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@vancouverislandhiker

Sir , you have a great writing style . Your information and advise was very sage. I think also treatment options to consider is age . At 56 I was diagnosed . Steep family history of this Cancer. I pulled the sheets over my father head 24 years ago from PC, and I can still see him . He was a good man, a good dad . I know have the same disease as my dad . Back then , my dad went with external radiation therapy . At 60 he got radiation and died at 67 . Very young in retrospect. I was more proactive with my health because of his experience. After the Operation for me in March 2021, my PSA did not zero out but hung around 0.1 or so . at 0.14 ( about a year ago ) I got External Beam Radiation (EBRT) for 22 session. Nothing happened really until about 7 months , then my PSA went from 0.14 to 0.072 , last PSA was at 0.056 ( one year level) . The trend is my friend here . My next PSA is in 2.5 weeks . I have PST I think from looking after my Dad . I was his care giver when he was sick . I am loosing sleep over the next PSA in 2.5 weeks . I know its silly and im trending great ....but how will I feel if the PSA data point is higher than 0.056 ? I know ).056 is a very low number but I have seen guys in my support group go to zero from here and also a one guy I know rebounded to 1.2 PSA ! Ouch ! I dont know what I would do ... Anyway , God Bless Sir . James on Vancouver Island .

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Replies to "Sir , you have a great writing style . Your information and advise was very sage...."

@vancouverislandhiker
First of all thank you for your kind words. I am glad to know that my writing style is appreciated.
In case of prostatectomy the PSA should be flat like upto 0.1 but it will never be zero. That question I did ask my U/O after my biopsy results review. Looking at what you shared I don’t think you need to worry
At my age group generally prostatectomy most patients opt for but I want
To evaluate all options first. I am also hearing that Gleason G2 now are also candidate for surveillance something I’ll check with my doctors also

Best wishes on your next PSA results! Please let us know how it comes out.

Yup, that fear and anxiety NEVER goes away even if it’s ZERO.
I was on pins and needles for 5 yrs watching my PSA slowly creep upwards. Now that I have been put on Orgovyx and am scheduled for 25 radiation sessions I actually feel better!
To fiddle while Rome is burning is the worst for me. Of course, what if the PSA starts to climb again after all this??! My wife begs me to stop projecting but it sure ain’t easy…
Best of luck - the trend IS your friend!