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PSMA negative, Biopsy positive

Prostate Cancer | Last Active: Feb 14 7:05am | Replies (23)

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@edtrucks

Thanks for the input. I plan to meet with a radiologist and discuss radiation treatments options. So what I am hearing is that the unfavorable label is determined by the Gleason score regardless of the number of needle samples with cancer, and regardless if the cancer is confined to one location in the prostate. With the PSMA Pet scan, I am hoping to see the true amount of cancer in the prostate, beyond the two samples that are confirmed. Also i'm was told it is recommended to decide an action to address the cancer within 6 months of receiving the biopsy results. Is that what others have been told with similar circumstances?

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Replies to "Thanks for the input. I plan to meet with a radiologist and discuss radiation treatments options...."

You can do a lot of learning before you make your decision. All the comments here are excellent and even though there’s no great rush to get this done in a month Gleason 4+3 unfavorable needs to be addressed.
PSMA, unfortunately, does not show micrometastasis so even though nothing lights up on the scan it doesn’t mean your nodes are clear.
Your chances of success/failure with either surgery or radiation is the same. Surgery does, however, give you a second chance down the road if the cancer recurs. You can then do radiation with or without ADT to attempt a cure or a long term band aid to fix the problem.