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Newly Diagnosed

Prostate Cancer | Last Active: Oct 31 4:02pm | Replies (32)

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My husband had his PSMA Pet Scan and the cancer is localized. We have met with the Radiation Oncologist and next will be meeting on Nov. 19th with the Surgeon to get back sides. I think my husband is really interested in the surgery but based on what I have read the radiation provides a better longterm outcome. Please advise if someone can give me some insight.

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Replies to "My husband had his PSMA Pet Scan and the cancer is localized. We have met with..."

@tbyota
Did your R/O mentioned the Decipher test? It is a test genetically on the biopsies taken for a more accurate risk level of his PC.

Your husband is still young these days so that is an equation a lot of us on MCC did not have.
Why is he leaning toward surgery? What are his R/Os and urologist recommending. Was ADT mentioned?

I chose proton radiation 30 rounds low dose and was not required to take hormone treatements as my Decipher test came back low risk not the initial intermediate risk per my Gleason Score. That is why I promote the Decipher test as was so influential in my treatment plan.

I am sure on MCC you will see surgery and radiation all have their pros and cons. I am not sure your source of radiation is better than surgery. I would think the experience of the surgeon doing a surgery and the comprehensive prior test would be the key to long term success. The major factor on success is that the cancer has not spread outside the prostate.

Most, not all, PC are slow growing and if caught early and still inside prostate has an very high cure rate. A lot of poster want to get rid of prostate with cancer inside versus damaging the cancer via raidation and having it die.

So really comes down to a individual choice made by the individual of what is best for him. I do though like many other posters suggest doing a Decipher test to verify the risk level of his cancer. The results of PSMA test was extremely good.

There are many forms now of radiation therapy with high dose short term and low dose long term. I had low dose of proton radiation and 30 rounds. Yes some minor side affects but not at all life changing.
Good luck on you and your husband decision.