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Gleason7(3+4) - treatment options recommendation
Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)Comment receiving replies
PSMA shows no spread beyond the prostate, so I'm looking at all the options. RP is straight forward, it's the radiation treatments I'm having trouble with, there are too many! Definitely will speak to more ROs. Have been in contact with UFHPTI and Moffitt, and will contact UM and Mayo Jax. Am also considering focal treatments, but that's another ball of wax.
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RP may look straightforward, but it’s really the last choice you want to make if you have any other. You are 3+4 so radiation makes sense. More and more people are going to radiation because it has become so effective. After an RP most people can’t get an erection. If you have radiation you usually can get one.
You should get genetic testing because if you are BRCA2 maybe surgery does make sense. You can get free, genetic testing here, just make sure not to say you want your doctor involved and they will send you a spit tube you send back. A Genetic counselor will contact you to discuss the results.
http://www.prostatecancerpromise.org
My brother with a 4+3 Gleason had cyberknife SBRT 18 months ago with 6 months of ADT and he has what seems to be a complete remission. Meridian is even better SBRT If you can get it. There are a couple of other options as you know, you could stop with one of those mentioned or review other techniques.