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Gleason score 3+4 plus perineural invasion

Prostate Cancer | Last Active: 5 days ago | Replies (16)

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@topf

Not sure PSMA is nevessary for a 3+4. PNI is fairly common, I believe. You should consider a Decipher test for the risk of metastatic spread.

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Replies to "Not sure PSMA is nevessary for a 3+4. PNI is fairly common, I believe. You should..."

My urologist ordered PSMA for me (3+4, 6/12 cores, Decipher 0.56).

The literature seems to be all over the place about the prevalence of nerve invasion and its implications in prostate cancer.

I will definitely request a genetic test since it seems to run in the family.