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Gleason7(3+4) - treatment options recommendation
Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)Comment receiving replies
@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.
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When I was getting my 29 Proton treatments at UFHPTI a few months back (no ADT by choice as I too had low risk Decipher results), there was a man there who had an interesting tale.
Younger than I am at 71, he had not heard of proton therapy and was actually on the operating table back in his home town for a prostatectomy when they discovered a heart condition that led to them stopping the procedure before going in. A friend of his told him about proton therapy in Jacksonville at UFHPTI and that's where he ended up and a very happy camper as a result.
Everyone diagnosed with Prostate Cancer should read the book, "Invasion of the Prostate Snatchers." You can find it on Amazon. And send for the free packet of materials on Proton Therapy from UFHPTI by filling out their online contact form. Whether you choose proton therapy or not, you will have armed yourself with more information.