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Gleason 6 Decipher 0.64. Photon, proton, AS, TULSA?

Prostate Cancer | Last Active: Jun 10 7:28am | Replies (37)
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@pdcar4756

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.

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Replies to "I'm curious. I'm about to undergo TULSA-PRO for one small tumor. G7 (3+4) less than 10%..."
farmanerd | @farmanerd | Oct 4, 2024

Cribriform was in one of my two positive biopsy cores, but not quite enough to push my biopsy Gleason score higher than 3+4=7. My second opinion on my surgical pathology, from an Epstein trained pathologist, had this to say: "The dominant nodule is almost entirely cribriform carcinoma (>95%). As such, the overall Gleason score for the dominant nodule is Gleason score 4+4=8, with minor high-grade pattern 5 as described above."
I BCRed 2.5 years after finish of adjuvant RT for dealing with the positive margins.

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matthewdore | @matthewdore | May 25 3:48pm

Hey @pdcar4756
I am G7 (3+4). one tumor. 25% G4. But High Decipher. .80. thinking of HIFU also. Why Tulsa and Not Focal One or SonaBlate?

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