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Why are urologists dismissive about Decipher?
Prostate Cancer | Last Active: 10 hours ago | Replies (26)Comment receiving replies
This doesn’t make any sense. The decipher test is used after cancer is found. It is not to determine whether or not active surveillance would work. The PSE test is something you use to figure out whether there is cancer there yet, and to pick AS and avoid a biopsy if it shows nothing.
I suppose if you had a person with only one or two Gleason 3+4 cores, A very low decipher could decide to go on active surveillance, But the test is More designed to figure out whether or not you’re going to have something come back soon after treatment.
Replies to "This doesn’t make any sense. The decipher test is used after cancer is found. It is..."
I'm one of those persons. 1st biopsy was 3+3, 1 core, less than 5%. 2nd biopsy nothing. 3rd biopsy 3+4, 1 core, less than 5%.
My urologist/surgeon suggested sending the 3+4 in for the Decipher analysis. (And he's a bit on the aggressive side; i.e. he's suggested surgery a couple of times.)
Result, low risk so I'm still on Active Surveillance and plan to stay on it as long as I can.
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Yes, several urologists told me exactly that. That decipher isused in 3+3 and 3+4 cases to decide on AS. I understand that with 4+4 it does not affect treatment decisions, but it should affect their assessment of recurrence risks.