1. < Prostate Cancer

Decipher test

Posted by johndavis60 @johndavis60, Apr 14 5:37pm

If you have a prostatectomy, do they usually do a decipher test, or do you have to request that? I didn’t have that for my biopsy (I don’t think).

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heavyphil | @heavyphil | 6 days ago
In reply to @johndavis60 "Thanks @retireditguy Your situation seems similar to mine although my surgery is not until May. I..." + (show)
@johndavis60

Thanks @retireditguy
Your situation seems similar to mine although my surgery is not until May.
I know I’m high risk as a result of the biopsy, so if mine comes back after surgery then I guess they will recommend radiation?? I do hope to stay away from ADT drugs - people here say lots of bad side effects. OTOH I would rather deal with side effects than having this spread around.

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John, any drug has side effects, so please don’t be afraid of Orgovyx. It’s a drug that stops PCa in its tracks and could save your life.

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luck1 | @luck1 | 5 days ago
In reply to @jeffmarc "It shows how likely you are to have a reoccurrence soon. If you are a Gleason..." + (show)
@jeffmarc

It shows how likely you are to have a reoccurrence soon. If you are a Gleason 9 or 10, you already know that you are likely to have a reoccurrence, So it makes less sense to get the Decipher test. If you also have cribriform it can increase the likelihood of reoccurrence. The same is true If the cancer got out of the prostate..

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Does it mean that radiation needs to be planned after surgery with Gleason 9?

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jeffMar | @jeffmarc | 5 days ago
In reply to @luck1 "Does it mean that radiation needs to be planned after surgery with Gleason 9?" + (show)
@luck1

Does it mean that radiation needs to be planned after surgery with Gleason 9?

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Some people need that, Your doctors are the ones to talk to about it. Some doctors will delay it for a while. Some want it right away. If you have surgery are there clean margins, If not, you may have radiation sooner.

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1 reply
johndavis60 | @johndavis60 | 5 days ago
In reply to @jeffmarc "Some people need that, Your doctors are the ones to talk to about it. Some doctors..." + (show)
@jeffmarc

Some people need that, Your doctors are the ones to talk to about it. Some doctors will delay it for a while. Some want it right away. If you have surgery are there clean margins, If not, you may have radiation sooner.

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I asked my urologist about decipher testing in my case.
Since I already decided on a treatment (prostatectomy ) and we know aggressiveness from biopsy, the decipher testing wouldn’t really provide much value to me. However, depending on how things go with the RP, if I need more treatment, they feed all my various attributes (ex. Gleason score) into an algorithm that helps guide the next phase of treatment.

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