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Gleason7(3+4) - treatment options recommendation
Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)Comment receiving replies
I prefer to avoid the ADT at all costs , if possible .
I have a 70 year old associate who had the 5 dose Mon-Wed-Fri and Mon-Wed SBRT treatment of SBRT , to date he is very satisfied .
p.s. Was he a 4+3 when on active surveillance or did it develop from a lower Gleason score over the 5 years .
Replies to "I prefer to avoid the ADT at all costs , if possible . I have a..."
If your Decipher score is low you do NOT need ADT - my 73 yr old friend just had SBRT with NO ADT at Sloan.
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It was a 3+3 on active surveillance.
At your age, you could probably avoid ADT because you are only a 3+4. Usually, they want to put you on six months of ADT to prevent the cancer from coming back soon, but that is up to your doctor.
Where are you going for treatment? If it is a Mayo clinic then you are getting the best advice. A urologist does surgery so they want to do surgery? You could consult with an oncologist to see what they feel your best options are. If you do that, you want A Genito Urinary Oncologist, since they specialize in prostate cancer, unlike a medical oncologist.