Connect
← Return to SBRT Monotherapy (No ADT)
Discussion
Prostate Cancer | Last Active: Jun 2, 2025 | Replies (9)
Comment receiving replies
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
Replies to "Your Gleason score and volume do not appear to indicate aggressive tendencies…was your Decipher score high?..."
Connect
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.