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Conflicting options - should I get a third?
Prostate Cancer | Last Active: Jun 28 5:12pm | Replies (26)Comment receiving replies
Not according to my readings. Most oncologists will say Gleason 6 will not metastasize. Yes, cancer cells, like all cells, change over time. It is just as likely (probably more likely) that your cancer is from a cancer cell(s) growing over the 10 years. How could you conclude it is the same one w/o genetic analysis?
I agree your urologist is a moron, but not for that reason. It is for his interest in removing the prostate right away. Until you do a PSMA Pet scan you don’t know enough to decide on a treatment. If you remove now, and it turns out it spread past the prostrate, you’ll need to do radiation as well.
I’ve had Gleason 8 diagnosed since January. Confined to the prostrate (Pet scan). On hormones that will shut down the cancer allowing me to spend a lot of time researching what I should do and take a 3 month trip to Europe. PC survivors, my 1st and 2nd oncologists agree that is the case. Now I’ll do Proton Beam therapy after I return.
Please don’t knock yourself. Take the time to make the right decision.
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I think that you are mixing my case with somebody else's , but that is OK .
My husband's 3+3 became 4+3 over time - same lesion in question was 3+3 10 years ago.
Anyhow, my husband had PSMA and all other tests necessary, all contained in a gland and both radiation oncologist and robotic surgeon in center of excellence agreed that for my husband RP is the best way going forward and they both mentioned "cure" since he has only one core of 4+3 out of 14 biposy cores taken.
Because he has cribriform cells and IDC in that one core, the best course is to have RP. That way if he ever has recurrence he will have an option of having radiation. You can have one area radiated only ONCE. We wish to have back-up plan if it is ever needed.
BTW, radiation can cause multiple side effects, some are immediate and some appear over time ( even years down the road). Basically - there is no procedure that does not have possible side effects. Some people have them, some don't.
For us the main goal is getting rid of the cancer, side effects will be there or not be there - that is out of our control and they will be dealt with IF they happen to be there.