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← Return to Gleason 7 (4+3) radiation, but ADT also? Over treatment?
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Gleason 7 (4+3) radiation, but ADT also? Over treatment?
Prostate Cancer | Last Active: Jun 12 5:00pm | Replies (78)Comment receiving replies
Quick request for all contributors: Please offer whether you have had the radical prostatectomy and when. Some comments suggest that the therapies and treatments are being considered, or have been underway for quite a while, with your prostate "still intact" in your body. Some comments offer just enough information to suggest or obviate that the only way that info can be obtained, is through radical prostatectomy and a detailed pathology report. For example, I need to research whether ADT is given "only after" radical prostatectomy, or if it is an alternate treatment given to patients who elect "not" to have radical prostatectomy? And, some people speak of radiation. I know radiation is a (poor) choice vs radical prostatectomy, but that radiation is also done "post-prostatectomy" when there were surgical margins and not all cancerous prostate tissue was successfully removed. Thanks for offering the added clarity.
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I had a radical Prostatectomy 15 years ago. 3.5 years later, it came back and I had salvage radiation. Many of us in here have had prostatectomies.
You’re understanding about how radiation works is it just not what the science has found. Whether you have radiation or surgery, the results are about the same. The side effects are different. If you have not seriously looked at radiation, you should. You don’t give any information about your Gleason score depending on what it is or what other issues you have maybe one of the other treatments will work for you. If your cancer has spread outside the prostate, they usually do radiation on the prostate and the spread.
ADT is given under both those conditions. If you have metastasis and had surgery and/or radiation Then ADT is the standard of care along with an ARSI Like Zytiga Or one of the lutamide’s. Depending how high the Gleeson score you may have ADT. If you’re a very low risk case with a Gleason 3+4 that you might be able to safely get away without ADT