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Is anyone with Gleason 4+3=7 trying active surveillance?

Prostate Cancer | Last Active: May 4 10:42am | Replies (35)
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@paulg24

Thank you all for your thoughtful comments and support. I am currently being evaluated for possible treatment at the Kettering Cancer Center, and, have sent in my pertinent medical & imagery records for review at the Scionti Prostate Center in Florida to determine if I am a viable candidate for focal therapy.
If Scionti believes my localized tumors’ grades (one has Cribriform cells), location and size make me a viable candidate, then I will go with them; if not probably Kettering.

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Replies to "Thank you all for your thoughtful comments and support. I am currently being evaluated for possible..."
heavyphil | @heavyphil | May 3 8:14am

Hey Paul, Cribriform cells do kick the grade up a notch - and those cells are aggressive; also, they do not respond well to standard radiation.
However, Sloan Kettering does have a protocol where they use high dose brachytherapy (seeds) in combo with either 5 session SBRT (Cyberknife) or 25 or more sessions of IMRT.
They would insert those seeds into the areas with cribriform cells for about 45 mins under anesthesia. Also, and I KNOW you don’t want to hear this, you would probably be placed on 6 months ADT to weaken the cells even more.
It’s not guaranteed to destroy your sex life but things will become challenging…
Phil

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