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← Return to SBRT Monotherapy (No ADT)
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Prostate Cancer | Last Active: Jun 2 12:30pm | Replies (9)
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Your Gleason score and volume do not appear to indicate aggressive tendencies…was your Decipher score high?
I’m just a layman but the ‘guidelines’ -which are not etched in stone - don’t really call for ADT for G3+4 unless you have genetic markers for metastasis.
My best friend had SBRT last year at Sloan and had a G4+3 in one of his cores, but a Low Decipher so he took No ADT. He was 73 yrs old at the time.
Phil
Phil
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Thanks, Phil. At the cancer center where I got treated, they don't offer Decipher tests, and rarely the spacer. (Maybe due to budget constraints in a universal, tax-funded health care?) The urologist who did my biopsy was in another (regional) hospital; he said I was "unfavorable intermediate." He does open surgery only, so he referred me to the cancer center (among the best in Canada) for SBRT. Here, the oncologist indicated I was "intermediate." Nevertheless, I was prescribed Orgovyx.
Had the urologist nót said "unfavorable," I might not have started Orgovyx at all. This was a compromise with my oncologist (who initially would have given me the once every three months ADT injection), so that I can stop ADT if I experienced the side effects I was very worried about.
I have experienced little or no side effects in two months, so I will discuss with my oncologist when we meet in July. Maybe I can stop after 6 months max, instead of 8 months to a year initially mentioned to me.