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44yr PSA180 Gleason9 non-metastatic. Surgery or Treatment?
Prostate Cancer | Last Active: Nov 12 1:32pm | Replies (122)Comment receiving replies
I’ve also been recently diagnosed with prostate cancer Glisan nine all scans are clear. I don’t really know what option to choose everything I seem to read says the new thinking is hit withwith radiation and ADT upfront due to the fact the chances are very good of microscopic spread radiation might be the first and best option for cure. Otherwise you’re looking for surgery radiation and ADD all down the road. Does anybody have any advice? I’m very confused.
Replies to "I’ve also been recently diagnosed with prostate cancer Glisan nine all scans are clear. I don’t..."
Hi Steven,
In addition to the information Jeff suggested you provide it would be helpful to know your age and any underlying health issues so both can be factored into the perspectives you receive here.
Bill
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As you probably know, Gleason nine is quite aggressive. I do know at least one person who had surgery with a Gleason nine and his cancer didn’t come back for 30 years. I know other people That were able to go 20 years without recurrence.
Yes, ADT and radiation can work, but it depends on the other things found in your biopsy. Were any of these found extra capillary extensions< intraductal, Cribriform, seminal vesicle invasion or EPE?
They can mean it is even more aggressive and that surgery plus radiation might be your best choice. Either that or IMRT followed by brachytherapy. This is something your doctor will decide, along with you.
Did you have a PSMA PET scan? That really is required in order to find out if you have had spread to anywhere else. What was your PSA when you had the scan?