← Return to Gleason7(3+4) - treatment options recommendation

Discussion

Gleason7(3+4) - treatment options recommendation

Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)
Comment receiving replies
@heavyphil

Oh for sure - I am living proof of that!
I guess focal therapy, once again, is both a personal choice and an option presented favorably (or not) by your treating surgeon/RO. I am sure some MD’s really like it and perhaps present it as a panacea: We only do this part now and we can always do more later.
While true, it’s the interim that scares me. What if the undetected cancer metastasizes? What if what they didn’t take out is more aggressive?
I just read @robertmizek’s post about his LDR brachytherapy nightmare and THAT scenario is exactly what worries me.

Jump to this post

Replies to "Oh for sure - I am living proof of that! I guess focal therapy, once again,..."
clandeboye1 | @clandeboye1 | Oct 6 1:00pm

I also read this Brachytherapy Report .
In my case I am 85 years young , My 1st Biopsy 5 Cores " All Negative " My 2nd Biopsy ( very shortly thereafter , not happy with the negative following a PI-RADS 5 on my MRI ) this time 6 cores in the same target area plus 10 cores elsewhere , came back all six cores Gleason 3 + 3 = 6 in the target ares - all 10 negative outside . A 2nd opinion on the Gleason 6 came back ALL Gleason 3 + 4 = 7 in the target area . . A 3rd opinion on my 2nd biopsy came back as some 4 , but not in all cores .
GO FIGURE - IN THE EYES OF THE BEHOLDER ., as they say .
I am currently on active surveillance . My Urologist followup is at the end of October . I have already consulted with a Radiation Oncologist .
I am considering ( at my age ) Monotherapy - 5 Treatment SBRT .

VIEW AND REPLY