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@bens1

@bjroc
My issue was more with the microcells that do not show up with any type of imaging and the lack of studies that give more guidance than what is out there now related to those microcells and biological reoccurrence. I would like to see more studies in that direction. I definitely was not looking for any guarantees as there are none in life, except death and taxes as they say.

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Replies to "@bjroc My issue was more with the microcells that do not show up with any type..."

@bens1
I am not a medical professional but I keep coming back to what you have mentioned in your posts. Prostrate cancer can be at the microcells level. You can't do a biopsy on entire prostrate thus even a minute area may have cancer cells not being addressed unless entire prostrate is treated.

Both consultations I had (Mayo, and UFHPTI) stress would treat entire prostrate and margins to make sure they treated all areas that may have cancer celss that did not showed up on the MRIs and biopsies.

I am not sure of the very latest PSMA test can detect better but I am glad my R/O was not going to take a chance he was missing something.

Perhaps paying taxes is easier than microcells.....

There are many directions needed, one is that estrogen levels might be to blame for some issues at least in some men for prostate issues. Sure they aren't high, but once we age the Testosterone to estrogen ratio falls into a kind of environment that a cancer might occur (informally I understand you want that ratio at least ten times the amount of testosterone in comparison to estrogen or 10:1). Sure they need to study things more, but basic looking at hormone ratios might help, better study of pathology might be helpful but that has a lot of looking at for last decades I believe though sure more can happen always. There are a lot of things to look at.