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@jeffmarc

Considering you already have a Gleason 3+4 a 6 month PSA test may not be appropriate. You should probably get three months tests because with half your cores positive it could grow a lot faster than you would hope.

Urologists are not really the specialist in prostate cancer, They do the surgeries and the Initial diagnosis, but it is difficult to completely trust them for advice. If you want to a center of excellence where they have multiple doctors reviewing your situation, you might get different answers. Finding a Genito urinary oncologist, the ones that specialize in prostate cancer, might tell you recommendations that are quite different. One of the doctors in a recent Ancan.org Meeting talked about how his urologist told him he was just fine, as his PSA was rising. By the time the doctor finally had him get a biopsy his cancer had spread a lot. You may not have a lot of 4’a but you have a lot of cores with cancer, That is a factor that should be considered.

You could have one of those other treatments I mentioned, you might want to look into that.

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Replies to "Considering you already have a Gleason 3+4 a 6 month PSA test may not be appropriate...."

That was there only concern was the amount of cores. That was one urologist and two oncologist told me. I got quite a few opinions actually yesterday I was at the oncologist. He has 30 years experience in prostate cancer he said that I should eventually get it treated like no later than end of year. but he was comfortable with me waiting for a while. The amount of cores the only negative he said.you're correct but he also said everything else all the scans decipher and PSA are all low. My main problem that I don't understand is how can every scan be negative including decipher 0.41 which is low but they found it on a biopsy. To me the concerning part is why can't four different types of scams not pick up anything. They're supposedly MRI pet scanner 90 something percent accurate if we think one of these will pick it up something that there is something there to pick up that was of any size??