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47 years old with newly diagnosed Gleason 7 (4+3)

Prostate Cancer | Last Active: Nov 14, 2025 | Replies (31)

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Profile picture for mikemp @mikemp

I am 70 years old. My last PSA was 4.6. I had a prostate biopsy a month ago. 20 samples taken and 5 were cancerous. I am told that the cancer is not aggressive and rated at Gleason 4 + 3.
I met with my urologist and waiting to see an oncologist. The urologist mentioned four options which were:
1. Monitor
2. External radiation
3. Brachytherapy
4. Prostatectomy

At this point, I am leaning to the brachytherapy. The urologist supports the idea and I will see what the oncologist has to say.

I look forward to comments and experiences from all of you!

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Replies to "I am 70 years old. My last PSA was 4.6. I had a prostate biopsy a..."

@mikemp Twenty years ago, my father-in-law chose brachytherapy and it worked out great. He's still around at 92 y/o. Back in 2023 I was diagnosed with a Gleason 7 (4+3), PSA 11.9

My urologist suggested either RALP or EBRT with ADT. I chose the latter and, though dealing with the ADT side effects is a drag, I am pulling through and thankful everything worked out fine, so far.

By the way, the same radiation oncologist that administered the brachytherapy on my father-in-law, supervised my EBRT.