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Intermediate Risk Prostate Cancer Treatment Decision

Prostate Cancer | Last Active: Jul 11 11:25am | Replies (53)
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Going to Mayo in FL to meet with them regarding v Tulsa Pro on the 26th. I’m leaning to radiology vs radical surgery if and only if I don’t qualify for Tulsa Pro

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Replies to "Going to Mayo in FL to meet with them regarding v Tulsa Pro on the 26th...."
matthewdore | @matthewdore | Jun 18 12:05pm

tk192,

OK, good luck in FL. .

I have a video call with Mayo MINN tomorrow. I'm not sure what types of Focal Therapy they do................HIFU, Tulsa, Cryo??? I have researched them all. But my first question will be" Does the high decipher score point you to certain therapies or are Focal options still on the table?
Second question: what are long term probabilities of recurrence for Focal Therapies? My research shows (approx. ) 25% recurrence with Focal vs. 6% recurrence with Radical Prostatectomy and Radiation. I'm going to ask Mayo if there is any way to get that 25% number lower. Age, health, family history, MRI/imaging advances, ......... etc.

Third question: If recurrence, ........ex. after 4 years, .........will the recurrence be in the prostate or will it have spread to outside the prostate? Is that where the Decipher score is telling? That is the big question.

Good Luck again,

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