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Good PSA/MRI active surveillance results still require fusion biopsy?

Prostate Cancer | Last Active: Oct 25 2:40pm | Replies (30)
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@handera

A good urologist should work shared decision making, especially when one is in the "low risk" PCa stage.

Did you obtain a Decipher Score from your first biopsy? That report, especially the accompanying Decipher GRID report, was extremely informative and a decision confirmer for my case.

If not, you may want to ask your doc if he can have that done with the 3+3 core taken from your 1st biopsy....assuming there was even enough cancer to test...in your case....

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Replies to "A good urologist should work shared decision making, especially when one is in the "low risk"..."
oct172024 | @oct172024 | Oct 17 4:51pm

handera-
After the "Prostate Biopsy Report" that included a 12-section grid and related report, my urologist preferred a "Genomic Prostate Score (GPS) Report" to the Decipher Test.
The 2pp GPS report was provided by mdxhealth.
My urologist summarized the GPS results as "low grade, low stage, low volume prostate Cancer, low GPS Oncotype Score" and made the AS decision based on that.
GPS result = 18, with likelihood of adverse pathology at RP = 19%.

I definitely plan to ensure more decision-making engagement on my part!

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