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Recently diagnosed: Treatment options for early stage prostate cancer?
Prostate Cancer | Last Active: 8 hours ago | Replies (84)Comment receiving replies
In my case, my PSA rose from 7.9 in late October 2024 to 10.5 in late January 2025. My primary care provider referred me to a urologist at Mackenzie Health Richmond Hill, Ontario who took 12 (or 14) specimens from my prostate on Jan 24. Finding: Gleason score 7 (3 + 4) on three cores. The Feb 14 "Nuclear Medicine whole body bone scan + SPECT +CT X2 Panel" found "No scintigraphic evidence of osseous metastatic disease from prostate." The CT scan of my pelvis and abdomen is scheduled for Feb 28, after which I will have my initial consultation with the oncologist. I will have the chance to choose between radiation or "surgery if both the bone scan and CT scan are both negative (that I hope they are)." Any one with similar situation in the past as mine -- PSA 10.5, Gleason 7, PC not spread, kindly comment which treatment path you chose, why? And the outcome. Thanks.
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@virgil
Ask your oncologist about Decipher test. It uses the same biopsies (if qualify) to determine a more precise of your risk. This will help you and your oncologist a more precise options for treatments.
Example: My Gleason was 3+4=7 and intermediate risk. Oncologist recommendation was radiation and hormone treatment but wanted to do a Decipher test. It was done and came back low risk not intermediate risk. This changed my treatment recommendations (from two different medical facilities consultatsions) to just radiation.
I chose proton radiation low dose 30 rounds done at UFHPTI. I had mild side affects that slowly went away after treatments ended and I am back to normal 1.5 years from treatments.
Outcome. I was at 3.75 PSA when had treatments. Had gone up every 3 months for about 3 years from .75 to 3.75. My PSA is now .22 as of December 2024. My R/O goal was to have it below 1. So the outcome for me is positive results from the treatment. I have PSA done every 3 months and meet with R/O every six months. I see my PCP every 3 months.
Please consider the Decipher. It really changed me treatment options. Also if you have any doubt of your diagnosis or treatment get a second opinion.
I did not see you had the PSMA test done. I am not famiiar with the tests you mentioned using CT scans. The tests done on my at Mayo Jacksonville and UFHPTI were: MRI with contrast, Biopsies using MRI/Fusion, bone scan, Decipher, PSMA.