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Gleason7(3+4) - treatment options recommendation
Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)Comment receiving replies
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.
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"You can get free, genetic testing here, just make sure not to say you want your doctor involved"
Why don't you want your doctor involved??
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I meant straight forward in that if you decide on, or need, RP, there's only one choice. If I choose not to have RP, then there are numerous radiation options even more focal therapies. I was leaning toward RP at first, but research has me more considering the other options now.
Thanks for the link to Prostate Cancer Promise, will look into that. My urologist has submitted my samples for a Polaris test but I haven't gotten the results yet.