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Why are urologists dismissive about Decipher?
Prostate Cancer | Last Active: 9 hours ago | Replies (26)Comment receiving replies
Most urologists are surgeons. They could care less about aggressiveness based on Decipher - they are cutting based on Gleason Score - PERIOD.
RO’s, however, used Decipher primarily to access whether ADT is necessary as part of their treatment. The higher the Decipher, the greater the need for weakening cells predisposed to metastasis. Remember, radiologists leave the gland IN, and if the PCa isn’t eradicated on the first go round, retreatment becomes more challenging. Hope this helps.
Phil
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heavyphil,
all prostate surgeons are urologists. There are urologist who also perform prostate surgery. There are many urological surgeries aside from prostatectomy. "Most urologists are"surgeons."
Most urologist are not Surgical Oncologists.
The Surgical Oncologist at USC, who did not perform surgery in this case, insisted on two months of ADT prior in order to reach the "sweet spot." Even though the surgery removes the entire prostate. The prostate bed remains with some risk of biological recurrence.