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Gleason 8 diagnosis at 51: Likely opting for surgery

Prostate Cancer | Last Active: Mar 19 10:45am | Replies (65)

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@betterhealth2

I'm similar: 66 yo, PSA 11, Gleason 3+4, Decipher .74, 6 spots on gland, probable cancer in capsule, no cancer in seminal. Dr. recommending Proton therapy + Orgovyx. Problem is I feel fine. What happens if I do nothing and just continue active surveillance?

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Replies to "I'm similar: 66 yo, PSA 11, Gleason 3+4, Decipher .74, 6 spots on gland, probable cancer..."

People can feel gine until one day they don’t and are diagnosed with metastatic disease and a PSA of 800.

That’s the $64000 question!! Nobody knows - but your higher Decipher score indicates a higher tendency to metastasize and the cancer already IN the capsule could soon get OUT and you could have a real problem to deal with….
I am not a gambling man, myself…