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Not sure test results and recommended treatment match up
Prostate Cancer | Last Active: 3 days ago | Replies (15)Comment receiving replies
I appreciate all of the comments to my original post; all are helpful. Has anyone gone the prostatectomy route with a very small amount of 3+4=7 cancer, as in my situation? Does the volume of cancer, or lack thereof, have any bearing on the risk or potential for spread? Thanks.
Replies to "I appreciate all of the comments to my original post; all are helpful. Has anyone gone..."
As others have mentioned, any treatment you choose is not one and done. We will all be monitoring this for the rest of our lives. I chose Tulsa Pro at Mayo for Gleason 7 (4+3) in July. I liked the technology and much lower risk of side effects ( I have had none). What really sold me was when the radiologist told me that all other options were on the table if the cancer returns. My story:
https://connect.mayoclinic.org/discussion/tulsa-pro-experience-mayo-clinic-mn-july-2024/
I am in the same situation as you . I have been on Active Surveillance for a year . My year-over-year Bone & CT scan was clear . I have planned a PEMA PET CT Scan .
My short list options at this juncture are NanoKnife , TULSA PRO , or Monotherapy SBRT .
NO ADT SHIT FOR ME - MY PRIORITY IS " QUALITY OF LIFE "
I also agree with jeffmarc , Your Urologist is a surgeon - Remove it ( not treat it ) Radiation Oncologists want to Radiate . You have many more options . Investigate all your Focal Therapy options . Immunotherapy , HIFU , Cryoabalation , NanoKnife , TULSA PRO - etc.
p.s. Can you purchased Dr. Patrick Walsk's 5th Edition book " Guide to Surviving Prostate Cancer " ? A must study book , to educate patients to make " An informed - Educated Decision " . Not an uninformed knee jerk decision you will regret .
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I had surgery when I was a 3+4 at 62 years old. My father had radiation and died From PC. I figured I’d have surgery so that I could have radiation later, Which eventually happened after 3 1/2 years.
After surgery, they changed my Gleason to 4+3. This is very common, The initial Gleason score is just based on the biopsies, not your whole prostate. I started off as a 3+4 and 15 years later I’ve had four relapses, And waiting for my fifth, which will eventually come.
Unfortunately, there’s no way to tell you, whether or not the volume of cancer or lack there of reduces or increases your risk. Everybody is different. It’s not just the Gleason score that can give you an idea about what could happen, A decipher test can tell you a lot more About whether or not, you may have more issues in the near future.
I had surgery 15 years ago, Things have gotten a lot better with a different techniques of treating prostate cancer. You also have many other non-radiation treatments are HIFU, cryotherapy, TULSA-PRO or more (others here will recommend). Not all of them work in your case, but you Could investigate them.