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Gleason 8 diagnosis at 51: Likely opting for surgery
Prostate Cancer | Last Active: 1 hour ago | Replies (24)Comment receiving replies
Similar boat here. Age 51, 6/12 cores positive (two Gleason 6, four Gleason 7) per two opinions, Decipher 0.56, negative PSMA.
So far, I've seen two urologists and two radiation oncologists. They've all recommended treatment vs. active surveillance. Both ROs suggested SBRT is not appropriate given current urinary issues - one recommended 20 treatments and the other 45 treatments. Going to MD Anderson at the end of the month and will make a decision after that. Currently vacillating daily (hourly, minutely) between radiation and surgery. Lots of good info on this site and PCRI.
Replies to "Similar boat here. Age 51, 6/12 cores positive (two Gleason 6, four Gleason 7) per two..."
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What did the urologists tell you? I assume surgery. I also talked to PCRI and they are generally very pro radiation. All three surgeons I talked to started their talk by telling me that I am only 51 and need to think in terms of 30+ years and that RT, even with Brachy boost, has too much of acrecurrencecrisk beyond 10-12?years. I believe that the concern is that it leaves viable tissue and possibly cancer behind.