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Did you choose active surveillance? Why was it a good choice?
Prostate Cancer | Last Active: 18 hours ago | Replies (42)Comment receiving replies
If your cancer is completely inside the prostate, then all the other tests will find nothing, Except a PSMA pet Test would which find it in the prostate, They just didn’t mention that since that was a known problem, If you ask them, they could tell you that the Prostate did light up on the PSMA pet test.
There is a difference between a medical oncologist and a Genito urinary oncologist. Do you know if your oncologist is a GU oncologist?
If you Decide to do nothing get quarterly PSA tests
Replies to "If your cancer is completely inside the prostate, then all the other tests will find nothing,..."
This is directly from my urologist about last week. They didn't find anything even on a psma PET scan. As you can see. So I take it it's that small? Since it showed on a biopsy of 3 + 4 I don't understand and even urologist seems a little confused. As to why It didn't show. ..................The only finding that is of concern is the number of biopsies positive isolated to 1 side of your prostate.
Again, CT scans, and MRI negative.
This is very perplexing as we would assume that both a PSMA PET and MRI should shows some clinically significant disease and in England there was a study demonstrating avoidance of biopsy in PSMA PET and MRI negative and they are even proceeding with radical prostatectomy without biopsy in patients with positive MRI and PSMA.
I actually think it may make more sense to repeat a standard transrectal ultrasound prostate needle biopsy and send pathology off for 2nd opinion to confirm that the actual tissue that was reviewed by other pathologist is actually correct before definitive therapy.
Please let me know how you would like to proceed.
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I'm not sure but this is what it says on his site. He is a is a board-certified radiation oncologist. He joined SSM Health Cancer Care in 2010 and is one of the physicians on staff at CyberKnife. has more than 30 years of experience in patient care with special interests in breast cancer and prostate cancer. He has more than 50 publications, both in peer previewed. I picked him because he was experienced I had spoken to another oncologist young guy I didn't trust. Would love to hear your opinion what you think thank you.