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Monitoring PSA post surgery with Gleason 9

Prostate Cancer | Last Active: Apr 12 1:10pm | Replies (18)

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@chipe

Gleason 9. Surgery was last September. My surgeon described/describes my cancer as high risk. Had to take one set of nerves, and it had spread to the seminal vesicles and a few lymph nodes. All PSA tests so far have come back undetectable. Saw him yesterday. He advises "watchful waiting." So does the Radiation Oncologist I was referred to. The surgeon went over the "data" with me yesterday.
Since my PSA was always low (never got past 2.08), his threshold for starting ADT/Radiation is .05. I am OK with this. I was going to start ADT/Salvage radiation no matter what, but I am going to wait. I will be 72 in August, and I think I have many years left, even with going the "watchful waiting" route.

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Replies to "Gleason 9. Surgery was last September. My surgeon described/describes my cancer as high risk. Had to..."

Thanks @chipe !
That’s interesting that you can do watchful waiting even with Gleason 9. Personally I’m a 4+5 and scared to death it will metastasize all over my body in the next couple years. However, my urologist said that aggressive prostate cancer is still slow compared to other types of cancer.
I wish you good luck and many years! 🙂