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Gleason7(3+4) - treatment options recommendation
Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)Comment receiving replies
Thanks for this. I'm just diagnosed in late July, Gleason 7=4+3, older than you guys at 66. PET scan says there has been NO spread. I'm having a hard time deciding between surgery and radiation, probably choosing surgery. I have one complication, an irregular heartbeat. I had an EKG the other day to see whether that makes any difference in choosing a treatment. It was helpful to read about your experience.
Replies to "Thanks for this. I'm just diagnosed in late July, Gleason 7=4+3, older than you guys at..."
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@anosmic1
I am 77 was 76 when diagnosed. PSA was within normal but was rising each PSA tests.
When in doubt get a second opinion. Has anyone told you about the Decipher test? It can determine the aggressiveness of your cancer and your risk level. You had a PET Scan (PSMA) so no spread is very positive. My R/O also did the bone scan.
I am a heart failure patient at Mayo Jacksonville and have a ICD/Pacemaker. I am on medication for PVCs and irregular heartbeat. Medications have really helped. Surgery will be far more stress on your body than radiation.
Surgery is and should be described as serious. Surgery is far more intrusive than radiaion treatments. You do not feel a thing during radiation and many new and great radiation treatments out there today that offer really good cure rates.
Radiation side affects come after a while as the radiation is targeting your prostrate and is being damaged. Some will get noticeable side affects like frequent urnination, increase need, some fatique (mine was very minor).
My advice talk to your urolgist and R/O about the pros and cons of surgery and radiation. Still in doubt get a second opinion from an experienced institution with latest research and treatment facilities and methods. A lot of second opinons can be done electronically with the second opinion using your tests results to give you a second opinion.
I would definitely get the Decipher regardless of picking surgery or radiation. Why? I was diagnosed as intermediate based on my biopsies. The Decipher test came back as low risks. It changed my treatments from radiation and hormone treatments to radiation only. My tests and diagnoses procedures were done at Mayo Jacksonville. My second opinion was done at UFHPTI. UFHPTI used my already done tests and it was done my me signing a medical waiver for them to get my medical information. I then met with them.