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RARP Pathology report questions

Prostate Cancer | Last Active: Feb 5 8:17am | Replies (13)

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@albcan

Thanks Jeff,

Yes originally the doctors explained that the most aggresive approach would be to have the surgery first then look at the other treatments, he said that all though it was possible to do radiation first then have the surgery it was much more difficult for the surgeon because of the effects of the radiation to the region so we went ahead and did the surgery first.

We had also discussed starting hormone therapy before surgery but because it was so close time wise decided to do the surgery first and again that would make it easier for the surgeon to handle.

We will see what the PSA is and what they say at our upcoming follow up in about three weeks but assume we will be discussing getting on hormones right away and whatver else the next steps are.

Its very comforting to know there are so many treatments now and like everyone has said should be able to live normal (new normal) life going forward.

Thanks Again,

Will keep you posted...

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Replies to "Thanks Jeff, Yes originally the doctors explained that the most aggresive approach would be to have..."

After I had surgery, my PSA went to undetectable within less than two months. I only had a Gleason seven, So they didn’t even think about ADT. I don’t think the NCCN was recommending what they are today, back 15 years ago.

If your PSA after surgery shows up undetectable then they’ll probably put you on ADT and maybe a second drug, and wait until your PSA starts to rise before doing salvage radiation. In your case, ADT is recommend because of that high Gleason.