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Gleason7(3+4) - treatment options recommendation
Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)Comment receiving replies
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 .
Replies to "I also read this Brachytherapy Report . In my case I am 85 years young ,..."
My brother at 76 had five treatments of SBRT, he was a 4+3. It was an active surveillance for over five years. Seems to have knocked it out pretty completely. Had 6 months of ADT after radiation.
Be aware that at your age surgery should be totally out of the question. I would really question any urologist that would recommend that.
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I think your decision is sound based on your age and biopsy results. SBRT is probably your best bet, avoiding many of the complications with other forms of therapy. Best of luck!