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Prostate Cancer | Last Active: 5 days ago | Replies (25)
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Jeff- John had RP already.
He had no spread of the cancer, gleason 9 , but had positive margins discovered during surgery. Would you be so kind to tell him what are his possible options ? He is new to this, he just had surgery and it all is probably overwhelming.
Replies to "Jeff- John had RP already. He had no spread of the cancer, gleason 9 , but..."
Thank you for clarifying 🙂
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With Positive margins they usually want to do radiation. Nothing else is going to remove it unless you go back and did surgery again, And they don’t do that. So this is a case where they’re probably going to do salvage radiation, I would think, It’s possible they could narrow it to just the areas that have margin spread, I’ve not heard of that being done.
With a Gleason nine aren’t they putting him on ADT? I know it’s not spread, but if the margins aren’t clean, that means that something had spread outside the prostate. You should speak to the doctor and ask them whether ADT and an ARSI (Zytiga or a lutamide) are called for in this situation, considering he is a Gleason nine. You really want to try to suppress it as much as possible so you have a chance of remission. I ran into too cases where people had eights or nines, didn’t have ADT and had metastasis in a short time. I’m mentoring someone with that problem right now.