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DiscussionRARP Pathology report questions
Prostate Cancer | Last Active: Feb 5 8:17am | Replies (13)Comment receiving replies
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.