Newly Diagnosed

The Arterra test reviews your biopsy and clinical data and compares it to thousands of others using artificial intelligence. It creates a score of Low, Intermediate and Higher risk of aggressiveness. Along with Decipher it gives a context to guidance. The PSMA PET/CT scan will show a SUVmax score for inside the prostate (lower better) and if there is any outside the prostate. Check with insurer as you are not a Medicare patient.

I suggest going to the PCRI.org You Tube videos on Gleason 8 when you have the results of the scan. You can also
call their helpline.

Thank you everyone learning a lot. This is helpful and gives us a starting point when we get to treatment phase discussion.

@tbyota
As I mentioned in the other message, the PNI that you have in his Biopsy results is not the more serious kind.

I know many people, including myself that had PNI And it was not a major factor.

@tbyota It’s a good starting point. You are probably going to be put on ADT which suppresses the cancer. Take your time to do your research. You will benefit greatly and when you make your decision, you will be more confident in what you choose. PCRI.org is a good starting point. ASCO recent conferences. Dr. Kwon’s videos from Mayo, are worth viewing. Good luck! Just finished an SBRT Proton Beam therapy and and just booked two trips to keep on enjoying life!

@robertov Thank you

@robertov
Actually, I think that ADT would be used only IF the cancer has spread, which the upcoming PSMA scan should determine.
That is, if the cancer has spread beyond the prostate, a prostatectomy doesn't cure it, so radiation and, yes, ADT likely combined, is the most likely course.
If, on the other hand, his Gleason 8 is contained within the capsule, a choice should be made whether to pursue surgery or radiation to deal with it. I was advised that either approach has equal outcomes for my Gleason 8 (3+5).
I went with with the (Da Vinci) surgical approach on Monday--doin' just fine--as I didn't want to deal with the many side effects of hormonal therapy, as well as the possibility of rectum disruption. Also, if metastasis does raise its head in the future, it's much easier to go from a surgical approach to radiation than vise-versa, by my understanding.
There's a definite learning curve involved here, and it ultimately comes down to the individual to make their own, hopefully informed, decision on treatment.

My husband completed the PSMA Pet scan and it came back localized not indication outside of prostate. The urologist scheduled him for radiation however was concerned about possible surgery due to his weight. I requested to speak with both and in the interim we can get the weight down.

If anyone has a diet I am open to anything at this point that will help.

@tbyota
Localized is a pretty positive outcome if you already have PCa.

Sorry, I can't help with diet. My only consistent diet is I get a pizza, extra cheese, sausage and onion on Friday's after radiation is over for the week. 😊

(Disclaimer: This is bad (or so I'm told) and I do not recommend doing it.) 😒

A registered dietitian can advise on a diet to help your husband lose weight prior to surgery. If you are at an academic medical center or a cancer center, there are likely dietitians on staff to advise patients and their caregivers. If not, ask your urologist's office about an appointment with a dietitian since the urologist has expressed concern about being overweight prior to surgery.