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Intraductal prostate carcinoma: What is standard treatment?

Prostate Cancer | Last Active: May 22 7:46am | Replies (36)
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@mlabus3

I'll join the confused and frustated crowd. Shocked at the lack of interest and/or specific treatment plan by both Hopkins radiologists and surgeons to my IDC diagnosis. (my first pathology was 3 core "evidence" of possible IDC. I had a second path acknowledged expert who said "extensive IDC". ) However radiologist still considers me a intermediate unfavorable (i now consider it high risk and have asked for a more aggressive plan), and surgeon is actually directing me to radiation. Based on what I ahve researched however, it seems to me RP is the preferred solution. I am going to join the xanax crowd shortly. It becomes all-consuming and immensely frustrating. Just reached out to Mayo, but i know that will take months, time which i dont feel I have. My kingdom for a thoughtful IDC treatment plan. PS 3+4 with one 4+3, and 70 YO.

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Replies to "I'll join the confused and frustated crowd. Shocked at the lack of interest and/or specific treatment..."
heavyphil | @heavyphil | May 21 8:18am

Well, the newest literature seems to indicate that the best prognosis for any intraductal (cribriform) findings is surgery followed by radiation/ADT.
Yes, it’s a lot, but with your very high Decipher, the outcome is very scary if you don’t go all in with treatment.
Phil

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surftohealth88 | @surftohealth88 | May 21 8:01pm

We finally had consultations at center of excellence in our area and both prostate surgeon and radiologist agreed that RP is the best course of action in our case. My husband has only one 4+3 core with IDC and cribriform. He is 69 and will be 70 in autumn. His Decipher score is 100 (yes, 100). Radiologist said that aggressive findings require an aggressive approach and that there is only one more aggressive treatment than radiation and that is RP. My husband is in very good health and still very active, so age was not an issue for making decision.
Wishing you the best with whatever you decide.

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