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Gleason 7 (4+3) radiation, but ADT also? Over treatment?
Prostate Cancer | Last Active: 15 hours ago | Replies (63)Comment receiving replies
That would be great and thanks again. Just to clarify, I am Grade 3, Gleason 7
( 4+3 ) T2a, but with a consistent 5 year PSA of 0.6 and no symptoms. A key factor is that there is a genetic link to my late brother who died of PC. Localized to one half of the prostate hence the T2a rating and nothing in the bones or organs.
Any perspective / input would be more than helpful ( I trust that you are on an even keel now btw ). Meeting on the 7th here in France with the HOD of urology at our regional hospital no doubt to discuss treatment options. His proposal will be based on findings of a panel comprising urologist, oncologist and radiologist. He however seems very keen on ADT.
Look forward to your story.
Best regards,
David
Replies to "That would be great and thanks again. Just to clarify, I am Grade 3, Gleason 7..."
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David, my PSA had been increasing for several years and my PCP sent me to a urologist. It turns out that because I had been taking medication to help reduce the number of night "pee" trips, my actual PSA was double (9) the number that was indicated by yearly lab tests.
A biopsy was quickly performed which when reviewed by a pathologist indicated 6 out of 12 cores contained cancer , four of which were 4+3 with the remaining two 3 + 3.
Consulted with a urologist and radiologist both of which indicated ADT was required. In the meantime, I had an MRI to look for any spread and had a 2nd pathologist from John's Hopkins perform a review of the cores which confirmed the findings of the first pathologist,
I had to wait several weeks to have a PSMA pet scan to look for spread and it confirmed there was none outside of the prostate. Your research has probably made you aware that a PSMA pet scan is significantly more effective than an MRI in finding cancer outside the prostate .