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New to this group and in total panic!

Prostate Cancer | Last Active: 6 hours ago | Replies (21)

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Profile picture for englishjea @englishjea

Get it checked. My 70 year old husband’s PSA floated along at 1-2 for several years, then in May it jumped to 5.2, which is normal for his age, but primary recommended going to urologist, just to be on safe side. No signs from physical exam, either. Urologist said MRI, just in case. Prostate showed something. Biopsy recommended. Gleason score of 8s and 9s, high risk prostate cancer. We are now trying to decide between radical prostatectomy and radiation with ADT.

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Replies to "Get it checked. My 70 year old husband’s PSA floated along at 1-2 for several years,..."

@englishjea
Was anything else found in his biopsy? Just high Gleason score is not enough information.

He is a Gleeson 9 the 8’s don’t count medically, only the highest score.

Were any of These items found in his biopsy extra capillary extensions, intraductal, Cribriform, EPE or seminal vesicle invasion

Any of those can make the cancer much more aggressive. In many cases, surgery is preferred if these are found.

If he has large cribriform Then surgery is preferred to get it completely.

Is he going to have a PSMA Pet scan? That should be done to find out if the cancer is spread anywhere else in his body. If it has then radiation is what is used. You really need to ask the doctor when he’s going to have this test done. It really is essential.

I know people who have been treated properly, and they are still alive 20 and 30 years later, even though they are a Gleason nine.

You might want to have him have a Prostox test done. That can show if radiation is going to cause him problems.