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Third SBRT Opinion Worth It?

Prostate Cancer | Last Active: 12 hours ago | Replies (36)
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@tdgillett

@brianjarvis Your numbers are very close to mine Gleason 3+4, PSA 7.67, prostate size 103 cc. Decipher was .045. I'm 78 and otherwise in good health. Glad you had a good outcome. Based on the decipher score which puts me at the top of the "low risk" area, my urologist is suggesting we consider another biopsy in 5 months (instead of a year), as part of active surveillance. I'm thinking about how to proceed.

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Replies to "@brianjarvis Your numbers are very close to mine Gleason 3+4, PSA 7.67, prostate size 103 cc...."
jeffMar | @jeffmarc | Mar 6 5:18pm

Has the doctor discussed giving you an MRI, Or did you already get one? That at least can see whether or not there are any growth(s) inside the prostate, And also target where to do the biopsy. A transrectal biopsy can’t get to as much of the prostate as a transperennial biopsy.

At 78 SBRT radiation will probably kill it off, surgery usually wouldn’t make sense.

My brother at 76, with a 4+3 had SBRT and it seemed to have killed it off, with six months of ADT included. You could find yourself an MRI guided SBRT machine, Much more accurate less tissue damaged.

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