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Just joined, biopsy shows 4+4 (Group 4)
Prostate Cancer | Last Active: Oct 16 11:58am | Replies (20)Comment receiving replies
@jeffmarc
First, thankyou for your kind response, Jeff.
To fill in a bit: Initial Proton treatment in 2020. My Gleason score at treatment was 3 +3. Nadir PSA was 0.54, but gradually rose. Last year, my first biopsy revealed only 5% adenocarcinoma in 1 core. I was told that because of radiation effect it could not be Gleason scored. I was then on active surveilance until my PSA rose to further to 2.5, which met the Phoenix standard of biorecurrence. Next was a PSMA/PET scan, which indicated lesion in right anterior midgland (NOT where 2020 lesion was) with no spread outside of prostate. Then the second biopsy recently, and suddenly I find myself in high-risk Group 4! I will try to get the second opinion from Dr. Epstein, thank you again!
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@billnumber6
You must be treated, but how! Since your recurrent cancer is found in the prostate only, it might make sense to try and find a surgeon that will remove it. I don’t imagine that a radiation oncologist will want to treat it with radiation again, Though it is puzzling why they left this much of your prostate around after proton radiation.
What has the RO that did the initial proton radiation say about what you should do?
Did they just not radiate that area and they can do it again,Because it’s not going to affect your lifetime radiation dose. This is one thing that you really need to speak to that radiation oncologist about and find out what your options are with them, And why the prostate wasn’t fully treated.