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Gleason 7 (4+3) radiation, but ADT also? Over treatment?

Prostate Cancer | Last Active: 4 days ago | Replies (78)
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@heavyphil

Ductal IS considered more aggressive, as you point out, so IMO it needs a bit more in terms of treatment.
After your PSMA, options are surgery or radiation; and ADT would be recommended with RT because of those more aggressive cells. Also, a ‘brachy boost’ of high intensity seeds could be placed in the more serious glandular areas to hit those cells the hardest.
If you opt for surgery it’s a more ‘one shot’ type of thing but there are MANY dide effects

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Replies to "Ductal IS considered more aggressive, as you point out, so IMO it needs a bit more..."
heavyphil | @heavyphil | 6 days ago

Sorry!! Morning Thumb Syndrome😩…I meant to say many SIDE effects from surgery which you may not want to go through at this point in your life. But ADT probably would not be used if you had surgery.
But ADT is not all that bad (ask for Orgovyx) and if you are in good shape the SE’s are more of a nuisance than anything else.
Phil

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