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pT3b - What was your Decipher Score?

Prostate Cancer | Last Active: Sep 19 7:39am | Replies (14)

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1. My pre-op Gleason score was 3+4
2. My post op Gleason score was 3+4
3. Post op cancer stage is pT3b with SVI, and w/lymphovascular and perineural invasion. Surprisingly, all margins negative!
Lymph node dissection was not performed as planned since my post-TURP prostate was so full of inflammation, it was very challenging to work with. It took so many more hours to complete the surgery that they were not to able perform the bilateral lymph node dissection as planned. They only managed to do one which was negative.
4. My urologist ordered Decipher test yesterday, and PSA test 2 months after the surgery which took place on September 2nd. I have a follow-up meeting with my urolgist on November 10th. I believe the major decison at that time is if and when to start additional treatment: right a way, or wait for PSA to rise.

GPS score before surgery was 47, which suggests a very aggressive biology of my porstate cancer.

I could be wrong (and I hope I am wrong) but my Decipher test will probably show a very high risk disease that will require additional treatment at some point, maybe sooner than later.

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Replies to "1. My pre-op Gleason score was 3+4 2. My post op Gleason score was 3+4 3...."

Soli, thanks for the update about your case.

Please keep us posted since there are couple of us at this very moment that deal with T3 issues and wonder what to do next.

Thanks so much in advance and wishing you 0.01 PSA in two months 🍀🍀🍀🧚‍♀️ !