← Return to The Gray Area of Favorable Intermediate Risk 3+4=7

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@happydappy

Thanks for sharing your experiences and thoughts. It seems you and I both had the benefit of starting out with 3+3=6 diagnosis leading to a fairly easy active surveillance recommendation and decision. And both of us eventually moved to 3+4=7, you after 9 years and me after just 10 months, demonstrating that we are all unique.

My medical team spoke a lot about risks and probabilities for an individual patient - risk of spread, risk of re-occurrence, risk of treatment side effects, etc.

Glad you are able to be comfortable with your decisions and enjoy those grandbabies!

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Replies to "Thanks for sharing your experiences and thoughts. It seems you and I both had the benefit..."

Yes, so far my experience has been relatively benign. Having monitored my PSA annually since I was 45y (in 2000), left me comfortable with tracking my PSA regularly during active surveillance, after treatment, and even these days every 4 months.
Risk of spread approaches nil for a “true” 3+3 (https://youtu.be/NV8QHzbgamI?si=H3BXS6BxFl3jI5rw), for those that aren’t “true” 3+3s, continuous monitoring of all of those datapoints mentioned earlier (and possibly more) minimizes that risk.

Even if active surveillance is just for a few months (or a few years), as long as it was done by the numbers and accounting for known risk factors, it was done right.

Good luck!