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

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@handera

“Many on here have been adamant that active surveillance (AS) is the best or even the only acceptable approach.”

Any non-biased (no dog in the fight) reviewer of this thread or most of the comments in this PCa support group would come to the completely opposite conclusion.

I was diagnosed with 3+4 PCa in October 2023 and Active Surveillance has definitely been the best decision, in my case, and it was recommended and continues to be confirmed by my urologist.

I rarely get any useful information that encourages my decision in this support group (but that’s ok)….I find most of that elsewhere.

That said, I do appreciate the comments of this “treatment leaning” group; as it’s always important to hear ALL perspectives.

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Replies to "“Many on here have been adamant that active surveillance (AS) is the best or even the..."

Glad that AS was your choice and that it's going well for you.

The purpose of this thread was not to advocate for treatment over AS. But to rather point out that the medical community still doesn't have clear guidelines for choosing options for 3+4=7. And because of this, it's not wise for some to come here and say that for all men in this category, the only choice is AS. It can be a choice for some, but for others treatment is the best option. Each man's decision should be honored.

Here is some useful information. Each PC is very different and have many different feature . Most 3+4 men cannot do 'nothing' . Your Dr has said this is a good option for you and its working , for now . Dont be disappointed if this changes as features change . AS is an option that usually and at times fit a 3+3 Gleason man . Sometimes this AS designation change at time . Remember cancer is dynamic in nature . Glad to hear your AS , is workign for you. Whats your PSA at this point. MRI's are sure where the lesion is ? That Lesson has to be monitored . Do you have more than one or two lesions? Any other health issues ? Yes absolutely leaving a VERY low grade 3+4 on AS is an option , but not without VERY close monitoring , due to the nature of PC . God Bless Sir ! James on Vancouver Island .

Thank you for your comments! I was diagnosed with Gleason 7(3+4, 4+3) with activity in two lymph nodes. The only options I was given were ADT plus either radiation or surgery. AS was never an option. all the best to you as you continue watching and monitoring!