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I need advice to help make a decision.......

Prostate Cancer | Last Active: Dec 3 10:37am | Replies (59)

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@tomrosenwinkel

Age 72. 2017 Stage 4. Gleason 9. I had a very similar conversation with surgeon and radiation oncologist. Given same choices. Went to lunch with wife and came back to them with choice of surgery, then radiation starting 5 months later for 90 sessions. PSA was undetectable after surgery and remained so until last year. Now detectable and creeping slightly for two years. Back to 6-months checks. Watching carefully and contemplating next steps. It’s been a good 7 years since diagnosis. Just hoping to keep going, whatever this brings.

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Replies to "Age 72. 2017 Stage 4. Gleason 9. I had a very similar conversation with surgeon and..."

Are you on ADT? That is the first step to get your PSA down, With the Gleason nine they also might want to give you a second level Drug like Zytiga or one of the lutamides.

If it above .2 you should be doing something, by .6 your doctor should have put you on at least ADT. That would drop your PSA back down to undetectable probably.

Have you had a PSMA PET scan? If your PSA is above .6 you should ask for one. It is the standard According to the NCCN for finding cancer metastasis