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Conflicting options - should I get a third?

Prostate Cancer | Last Active: 7 hours ago | Replies (20)

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@westernflyer

2010 proton radiation at Loma Linda Children's Hospital in Loma Linda, California..a pioneer in proton radiation therapy. Gleason 3 plus 3 with slow-growing prostate cancer. In 2017, PSA began to rise from near zero to its current 5.46. In the last six months, MRI and PET scans. Either has detected prostate cancer..or "might be", but cannot be certain as the urologist indicated.

What to do? Absolutely in excellent health; no urinary issues or others..all normal functions. I recognize PSA increases with age, regardless of any issues with prostate cancer. Therefore, active surveillance is the option I am following at this time. As one responder stated, most men die with prostate cancer and not because of prostate cancer. I suspect that will be my case. For those who have a doctor-recommended surgery, please give this option your utmost research and consideration. Over the years, reading comments heretofore, surgery often causes more problems than before surgery. Seek out multiple options and opinions.

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Replies to "2010 proton radiation at Loma Linda Children's Hospital in Loma Linda, California..a pioneer in proton radiation..."

FWIW, completed Proton at a COE in February 2025. In my final 2 weeks of Orgovyx now. PSA at 3 months post treatment went from 6 to < 0.04 and T is < 10. The good numbers are probably reflecting a combination of the treatment and the Orgovyx, and PSA is expected to rise after I cease Orgovyx. But my RO said that PSA of 2 is now the cutoff. If it rises to or above that it indicates recurrence. Decipher score pretreatment is high risk at 0.78.

Good luck.