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Is anyone with Gleason 4+3=7 trying active surveillance?
Prostate Cancer | Last Active: 18 minutes ago | Replies (14)Comment receiving replies
I'm 67 was diagnosed 4 days after my 65 birthday gleason 6 psa 6.2, months later after pet scan and mri they took another biopsy once they confirmed the exact location of my two spots, gleason scored went up to 7 (4 + 3) I did active surveillance for over 18 months , psa stayed around 6.2. I lost my father to prostate cancer 40 years ago and it was a terrible way to die so I finally decided to seek treatment. went to mayo Rochester two months ago and received Proton Radiation 5 treatments, declined the 4 months hormone therapy they suggested. Have to say I'm very happy with the results so far, time will tell. Psa check in 6 months. Can still get up to bat but started to take 10mg of tadalafil to hit a home run. Fyi my cancer was only detected on my prostate. Good Luck To All!!!
Replies to "I'm 67 was diagnosed 4 days after my 65 birthday gleason 6 psa 6.2, months later..."
Interesting Gleason result on your 2nd Biopsy . Follow my tale .
Biopsy # 1 5 Cores in the Transperineal MRI Fusion Biopsy TARGET area -- ALL NEGATIVE .
This conflicted with my PI-RADS 5 . probability of cancer .
Biopsy # 2 15 Cores . 6 in the TARGET area ALL Gleason 6 . ( The remaining negative )
2nd Opinion ALL 6 -- Upgraded to Gleason 3 + 4 = 7
3rd Opinion 4 were Gleason 6 2 were Gleason 3 + 4 = 7
Take your pick . I have been on Active Surveillance for 1 year . My recent , 3T year-over-year , MRI showed no change . Yet my PSA has gone up from 7.3 in Dec 2023 to 10.0 in October 2024 .
Given I have been on Dutasteride for over 4 years I have to double my "Lab PSA" . Therefore my true PSA today is 20.0 . I am researching Focal Therapy , perhaps NanoKnife . I am 85 plus years old .
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At four months of hormones therapy was to prevent you from having a reoccurrence. You’re rolling the dice, not doing it..