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SMART - MRI Guided Adaptive Radiation Therapy

Prostate Cancer | Last Active: Jan 14 9:29pm | Replies (14)

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Profile picture for jeff Marchi @jeffmarc

What would be useful would be to see what your biopsy showed, You could post the biopsy here and people could comment about things that may be an issue. Some things in a biopsy are problematic if you have radiation.

You don’t mention what your Gleason score was, your PSA before treatment. How old you are. All of these can be factors in how soon a reoccurrence might or might not happen.

Did you have a decipher score to see what your chance of reoccurrences is.

Did you have genetic testing? Is there cancer in your family breast cancer, prostate cancer pancreatic cancer All of those can be signs that you have genetic issues.

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Replies to "What would be useful would be to see what your biopsy showed, You could post the..."

@jeffmarc
Age 67. Extremely active.
On Active surveillance since 2020.
2025 Biopsy results attached.
Gleason score 3+4 w potential extra prostatic extension raising NCCN risk to unfavorable intermediate.
Progression of cancer continued to worsen in each annual mris and biopsy.
Psa increased from 3ish in 2020 to 6 in 2025.
Decipher .88 - high risk.
Polaris 3.2 - low risk
PET - no outside spread
Hope this helps!
I’m no expert, but happy to share if helpful.

Shared files

Biopsy (Biopsy.pdf)