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Profile picture for jeff Marchi @jeffmarc

It is very hard to give a suggestion about what to do when there is no information supplied, Besides age.

What was your PSA at diagnosis? What was your Gleason score after the biopsy? Was anything else found in the biopsy like intraductal, cribriform, Seminole vesicle invasion or ECE. All of those things make it more likely for your cancer to come back. If you didn’t get a full biopsy report, ask your urologist for it So you can get the answers.

Considering your age, proton radiation might make sense for you. It has much less likely chance of Causing other cancers as you get older.

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Replies to "It is very hard to give a suggestion about what to do when there is no..."

Although, to be frank, the risk of causing secondary cancers is very low with modern radiation therapies anyway, so you'd be looking at maybe a reduction from 2% extra risk to 1.5% extra risk (those are just example numbers, but in the approximate range).

My husband just turned 70 last week, His Gleason score was 4 + 3. His PSA at diagnosis was 8. PSMA 3 showed direct extracapsular extension. Linear extension into anterior aspect of left seminal vesicle compatible with seminal vesical invasion. No definite extension int rectum or urinary bladder. Lymph node metastases: left internal iliac/perirectal lymph node just posterior to bulky left seminal vesicle. There are other descriptions, I am just not sure if I should list them.