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Replies to "Thanks for the reply. No one mentioned a decimeter test. Are there problems with the biopsy..."
I know many feel strongly that it is really important to be treated at a CCOE, but my experience has been a bit different. I was under the care of a CCOE for many years and although they were monitoring my PSA and did MRI's and biopsies, they did not utilize the latest diagnostic tests that could have, and in hindsight should have, been used for my case.
The CCOE I was at seemed to have a high volume, one game plan approach to diagnosis and that did not include the latest urine and blood based tests that look for biomarkers of prostate cancer. It was only after I changed to a urology group in my home city that my cancer was found thanks to use of one of those tests (ExoDx though the EpiSwitch PSE test is another excellent diagnostic screening test).
After the determination that I did have prostate cancer I had to decide whether to return to the CCOE for the surgery or continue with the group that was so instrumental in finding the cancer very early. I elected to continue with the local group and had a RALP. The surgery was performed by two surgeons - one did the first portion and the other did the second portion and both were in the operating room the entire time. I don't know how common it is to have a team do the procedure, but in my case I was very reassured going into the surgery with their combined experience and training and I am very pleased with the results.
Everyone needs to decide for themselves where to seek care, and treatment if required, and my point in passing this along is just to offer another point of view to the widely held belief that a CCOE is always the best decision.
You have found a great resource for information at this forum and the contributors here have a lot of experience and information to offer. All the best to you as you move through this process.
Sorry, I misspoke. As @jeffmarc correctly pointed out below I meant to say decipher test. As far as a second opinion on the biopsy results, I'm not a medical professional but my understanding is sometimes a second opinion of the biopsy tissue can differ from the first opinion. In your case, since you only had one 3+4=7 it might be worth having a second set of eyes examine the tissue. If the second opinion only found 3+3=6, then it'd be time for a third opinion. You can query "biopsy second opinion" on this website and you'll find a lot of hits. In my case I had multiple 3+4=7 instances and the lab was at a CCOE so I didn't bother. Best wishes.
Do you have a Decipher score with that Low Intermediate? Could bump it up or down a notch and help you decide on best treatment approach.
Phil
45 minutes!! Fantastic.
I can find no evidence of a decimeter test being available. I think he meant to say decipher test.