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Gleason7(3+4) - treatment options recommendation
Got recently diagnosed with Gleason group 2, 7(3+4). Was in state of shock to know about the cancer.
I’m 56 year old and fortunately I’m with Mayo care since last decade.
Recommendation for me is to have prostatectomy as radiation therapy has long term implications. Took outside opinion also and same recommendation. But not sure how to deal post procedure with urge to urinate situation currently there.
Biggest thing is I’m hoping there is no recurrence occurring after this. Any suggestion/recommendation?
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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.
"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??
If you say you want the doctor involved, they will not send the spit tube and return envelope. They will contact the doctor and find out what’s going on before they proceed with your genetic test.
There’s no need for that if you are diagnosed with prostate cancer.
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3 ReactionsI’m curious to know what information is reported for this test and how it helps to evaluate the situation related with PC
This is a genetic test that test for about 30 different genetic problems that can directly affect prostate cancer. Something like BRCA2 or BRCA1 can be found, and they can be treated by giving you a PARP inhibitor drug, which doesn’t work with any other genetic problem. Also doesn’t work if you don’t have those genetic problems.
It can also tell you if you have PTEN or RB1 which don’t work well with Pluvicto.
Wish I would have read this 15 minutes ago. I just signed up and gave my doctor's info. Sigh...
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1 ReactionThe Cancer Centre arranged the genetic testing (BRAC2 etc) for me right after I was diagnosed. I didn't have to do anything — they just explained the test, asked me if I want to take it, then handed me the tube and consent form.
I wonder if major cancer centres already have a supply of kits sitting around.
Gleason 3 + 4 = 7 and all you were offered was a radical prostategomy . If I assume your leison or liesons are contained within the prostate -- Ask your Radiattion Oncologist about Monotherapy HDR Brachytherapy - 2 treatments 2 weeks apart . Or Monotherapy SBRT 5 - 30 min. treatments - MON , WED , FRI and Mon , Wed the following week . Less more radical , minimum side effects and a shorter treatment plan .
Many Gleason 3 + 4 = 7 patients go on active surveillance , many for years prior to having to have an alternate treatment . Have you read Dr. Patrick Walsh's book " Guide to Surviving Prostate Cancer " ? An A to Z on all you need to know about prostate cancer and your options .
Are you still in a state of shock and makinng a knee jerk decision , which you may regret later , and have not educated yourself on the numerous other options .
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1 ReactionFirst have to read Dr. Patrick Walsh's book " Guide to Surviiving Prostate Cancer " ?
An A to Z educational book all about prostate cancer . Diagnosis , Treatment options , side effects etc . Educate yourself before making a knee jerk decision you may regret . This is common . Many patients panic thinking OH my God - Cancer . I'm going to die tomorrow .
No you probably had it for 10 yeras or more . Ask yourself the question . " If you did not know you had cancer - DO YOU FEEL ANY DIFFERENT ?
I would ask your Radiation Oncologist about Monotherapy HDR Brachytherapy . This is a 2 treatment plan . One treatment one week and the second treatment two weeks later.
OR - Monotherapy SBRT . 5 treatments , approximately 30 minuttes each .
Week one on Mon - Wed & Fri. Week two on Mon & Wed . FINISHED .
Finally , it's not uncommon for Gleason 3 + 4 = 7 cancer patients to go on Active Surveillance -- Many for years before having to have treatment . It's all in the book .
Good Luck .
At your young age, you are a good candidate for Ralp. Less problems with incontinance, healing, ED. No problems with getting radiation later if needed. Most likely, at some point, you will need some kind of treatment. Active surveillance is no picnic with biopsies. By getting treated now, you don’t have to worry about it. I just had Ralp 2 months ago and don’t regret it. Good luck, you caught it at the right time.