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Treatment options: radiation without ADT?
Prostate Cancer | Last Active: Sep 11, 2025 | Replies (66)Comment receiving replies
Pet scan was OK and intermediate on decipher. I feel I was fully informed with all questions answered (and I had a lot of them). In fact, most of them came from this group of highly informed & inquisitive gentlemen. Also, it appears I fall into the smaller group of men here who have stated their acceptance of the fact that recurrence is very much a possibility considering my diagnoses and choice of treatment but I’m betting it will not be the cause of death.
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@billkmed
You sound like a mature and exceptionally smart man. You have the mental outlook a lot of individuals do not have when dealing with cancer or serious life issues. You trust your medical providers and that is an extreme plus.
A lot of time I read posters say I want quality of life not quantity. That is a personal choice and when made after being totally informed that is what the person should do. It is there body, there cancer, and what is important to them is what they should go with.
What I read is you are okay with your decisions and comfortable with them. That is good and commendable and will go a long way with your journey with prostate cancer.
I think the degrees of PC is something not really understood from one person's cancer to the other. Big difference in having a turmor versus just cancer cells. My MRI nor biopsies did not find tumors. I had difference in normal cells and areas of abnormal cells that turned out to be cancer cells.
I am happy with my choices as well. If I had not had the Decipher test (low risk) which changed my treatment plan to no hormone treatment recommendation I would have chosen not to have hormone treatments. Back in 2023 I was not on MCC and did not even know about Decipher test. I was fortunate to be a patient at Mayo Clinic with an experienced R/O that ordered Decipher and bone scan. Second consultation ordered PSMA and concurred with diagnosis and radiation treatment only.
I know you and many others have heard the phrase, "you are not going to die of prostate cancer, it will be something else." This is what my Mayo urologist said to me with decades of experience as a urologist and surgeon. But again my cancer was still at cellural level. If it had been a tumor or high risk I would not have heard those words not do I think I would have made same decisions.