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Cyberknife side effects.

Prostate Cancer | Last Active: 4 hours ago | Replies (13)

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@brianjarvis

Yes, according to the NCCN guidelines, a 3+4=7 can put you in the protocol for AS….as long as there are no other risk factors identified:
> PSA
> % Free PSA
> PSA Doubling Time
> PSA Density
> other MRI issues
> other biopsy issues
> biomarker (genomic) test results
> genetic (germline) test results

If they’ll do a PSMA PET scan, that would help in making the AS decision.

Regarding your 11 Gleason 3+3=6s. There’s some debate in the medical community as to whether a G6 should even be called cancer (since a “3” structure cell can’t metastasize) and therefore shouldn’t be considered as a G7+. (That a 6(3+3) is a harmless benign tumor - that it shouldn’t necessarily be treated.) With a Gleason 6, they’ll usually recommend active surveillance, unless you have other known risk factors.

As for nerve-sparing as a treatment consideration, surgery ranked dead last in my choices when I was considering quality-of-life being equal priority with success.

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Replies to "Yes, according to the NCCN guidelines, a 3+4=7 can put you in the protocol for AS….as..."

Brian. Thanks. I think the only issues I may have against AS is all 12 cores positive. I think the other things you listed are N/A for me.

May request a decipher test and or PET scan. And possibly second opinion on slides. All less trouble than possible treatment side effects