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Did you choose active surveillance? Why was it a good choice?

Posted by arizobound @arizobound, Dec 27, 2024

Biopsy showed 3 + 4 MRI showed pirad 2 bone scan CAT scan no metastasism nothing found. psma pet scan radiologists said nothing found. but oncologist says he saw a very small spot. Only concern was half of the cores showed 3 + 4 out of 12 but he said it does not show the percentage of four?? Not sure I understand this part. Told me I could do active surveillance or cyber knife or brachytherapy. I think I am going to go with active surveillance my Medicare plan I can change next year to an advantage will cover more of the cost I have original Medicare now. Can I get some opinions on active surveillance being a good choice? Thank you in advance

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tuckerp | @tuckerp | 4 days ago
In reply to @arizobound "I'm on the active surveillance decided to do that recently and I have more cores positive..." + (show)
@arizobound

I'm on the active surveillance decided to do that recently and I have more cores positive than you 3+4. Nothing found on MRI or psma scan phone scan or CAT scan. Personally no way would I have surgery with Gleason score of 6. But if you have incontinence and Ed already I guess it doesn't really matter I'm trying to avoid it myself since I do not have either problem at the moment. good luck on whatever decision you make

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yes. maybe a hasty decision. My father passed from AS. He was also 87 with other issues. I just felt my mental state would not handle letting it get worse and then get to old to fix it. I am 72. I went with fact the Dr claimed surgical statistics were 85% of no issues. Well some has to make up the 15%. Lucky me. No regrets though. I have put cancer behind me , I hope.

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mariopetrozza | @mariopetrozza | 4 days ago
In reply to @arizobound "I'm surprised the doctor told you you could do active surveillance I had a lot of..." + (show)
@arizobound

I'm surprised the doctor told you you could do active surveillance I had a lot of grief asking for active surveillance and mine is localized and it is not showing up on any psma scan.

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They based active survalence on my node staying very small and very slight rise in psa up and down.we did discuss radiation after the next scan next months. If need be most likely will..I went 2 years undetectable after radiation. After prostatectomy 1 yr radiation after 2 yrs .came back psma showed one small spot tiny in the node..i think the time I had radiation my scan showed nothing also.but they usually target the bed area..my now is at the pelvic area locally. They said I was in no danger doing active survalence at the time..live day by day keeping our head up staying positive..good luck

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