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Why are urologists dismissive about Decipher?

Prostate Cancer | Last Active: Nov 18, 2025 | Replies (77)

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Profile picture for service1010 @service1010

@jeffmarc Thanks for your comment and question. First, they found nothing else on biopsy, except two cores 3+3.
Father died of PCa 50 years ago, older brother RP 10 years ago, younger brother RT last year.
No cribform reported, no seminal vesicle invasion. No PIN. They say 'confined' but PMSA PRT in 3 weeks.
AS for 13 years
Just so odd....

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Replies to "@jeffmarc Thanks for your comment and question. First, they found nothing else on biopsy, except two..."

@service1010
You and I both have families with prostate cancer.

My father died at 88 from it.
I got it at 62 because my mother gave me BRCA2. Had RP then SRT 3 1/2 years later when it came back
My brother got it at 77. He was on active surveillance for about six years before that. Had RT

Overall, I would say you really have a good chance of having a long time without major problems, but that decipher score really surprises me. It must be the number of cores With 4+3 and 3+3 that got that score. Unless they found something in the samples, they got that were not seen in the biopsy you had.

13 years active surveillance is really a long time. Hopefully the 4+3 slow growth will give you many years with minimal issues..

Because of the .96 are you considering surgery so that you can do radiation if something does come back?

Sure would be interesting to hear with the PSMA pet shows. The decipher isn’t based on that, But that’s more information that’s really useful for decision-making.