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← Return to Gleason 6 Decipher 0.64. Photon, proton, AS, TULSA?
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Gleason 6 Decipher 0.64. Photon, proton, AS, TULSA?
Prostate Cancer | Last Active: Oct 5 9:51am | Replies (13)Comment receiving replies
Biopsies undersample a prostate and genomic testing of the tumor is valuable in helping to determine whether AS or treatment could be selected as the action to take. The Decipher score of 0.64 is likely a bit concerning:
https://decipherbio.com/decipher-prostate/patients/decipher-prostate-overview/
My experience with Decipher: I only had two positive cores (G6 and G7=3+4) with only a small amount in each core. My Decipher Biopsy score was 0.94, which drove my treatment decision to be RARP so that we could find out what was going on in my whole prostate. Surgical pathology ended up being G8=4+4 with multifocal tumors, cribriform, intraductal, and positive surgical margins.
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I'm curious. I'm about to undergo TULSA-PRO for one small tumor. G7 (3+4) less than 10% 4. Decipher Biopsy score 0.78. No cribriform. No other tumors visible on MRI. Did your biopsy not indicate cribriform? I had 2cnd and 3rd reads done on my biopsy samples at both Johns Hopkins and Mayo Rochester. Neither indicated cribriform. I'm wondering why your biopsy results didn't show that fact. For me, I'd be doing AS if it weren't for the Decipher score.