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Radiation vs RARP for IDC prostate cancer with high Decipher?

Prostate Cancer | Last Active: 8 hours ago | Replies (28)
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@jeffmarc

Not sure if you saw this study, but it discusses the problem with patients who have cribriform And then have SBRT radiation. In a very high percentage of cases, there is a reoccurrence, They actually did a radical prostatectomy for a bunch of these people to see what Was going on after radiation.
https://www.sciencedirect.com/science/article/pii/S0893395222002629#bib27
Then there this discussion which covers cribriform risk as well.
https://www.urotoday.com/video-lectures/a-journal-club-for-patients-with-prostate-cancer/video/mediaitem/4452-unfavorable-histology-classification-aims-to-reduce-unnecessary-treatment-journal-club-jesse-mckenney-cornelia-ding.html
Docetaxel is chemo therapy. If a patient has a lot of Metz then they do triplet therapy with ADT, Abiraterone and CHEMO. Otherwise they do doublet therapy with ADT and Abiraterone.

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Replies to "Not sure if you saw this study, but it discusses the problem with patients who have..."
surftohealth88 | @surftohealth88 | Apr 17 12:30pm

Yes, thanks Jeff for posting the link , I read that one too.

There are subgroups of cribriform formations and depending of pattern the risk is different. There is also IDC-P difference between 2 IDC patterns with different predictions. My husband has none of inherited mutations.

I will concentrate on those studies that show less risk for him according to his particular pattern ; ). (Knock the wood)

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